HomeMy WebLinkAbout5 Old Town Sq - Permits/Reroof - 06/23/2011F6rt�,,l�s
Site Address: 5 OLD TOWN SQ
Job Valuation: $20,000.00 Category: Restaurant/Cafe
Owner: PROGRESSIVE OLD TOWN
5 OLD TOWN SQ STE 216
FORT COLLINS, CO 80524
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 97o.224.6134 -fax
Building Permit #: B1102815 •
Issued Full: 06/23/2011
Phone: 221-9332
Permit Type: Commercial Roofing
Zoning: Front setback:: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File#: ZBA Case M
Zoning district: D - DOWNTOWN DISTRICT
Legal: Subdivision/PUD: Filing M Lot M Block #:
Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft.
# of stories: Occ Group: Const Type:
Fire Sprklr. Stock plan M Stock plan options:
Contractor- SHIRK, AJ ROOFING-',Ej License M R-1588 Supervisor cartM
825 EAST 6TH ST ,
LOVELAND, GO 80537j Phone: 970-669-6999
Subcontracto'ks} ` �,_- h e i �. License Number
Job Contact: , ANTHONF'f OSTBLOM' g
a
isLi
Work Descriution: TEAR
OVER RECOVERY BOARD,
PER HIGH WIND REQUIREM
7CISTING RECOVERY BOARD. INSTALL 5/8°-�GY1
)FINE MATERIAL - FLASH WALLS WITH PVC. IN
WORK PERFORMED BY AJ SHIRK EMPLOYEES
SCHEDULE INSPECTIONS I By Phone: 221-6769 1 By Web: httpc/laaweb.fcgov.com/CitizenA=ess'"
Inspections: RF
TOTAL FEES PAID AS OF 06/23111: S140.50 Payment method: Trust Account
"Fee DemU DhWlayW on Next Page
As a cmx tion for the issuance of a permit; I hereby declare that I am the oymeror owners agent, authorized to perform the proposed work on to property described herein.
I agree to corrrply with all the requirements contained herein, and City ordinanoss, and State laws associated with such work I understand that such permit may be
revoked in to event that mmoe, was based on mcorred information. This pem d shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or riot inspected witivn 180 days from to date of such penrk
Signature:
Print Name: Date:
�a3
Form Revised Oct 2010
of
E6rtte„Ty`Collins
Site Address: 5 OLD TOWN SQ.
Job Valuation: 20 000.00 Category: Restaurant/Cafe
Transactions
Trust Account 06/23/2011
Receipt issued: 06/23/2011 Total Paid to Date:
Fee Description Account Code
Building Permit Fee Without 1000.422,010
Subs
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o$22
97o.22i.676o 97o.224.6134 -fax
Building Permit M B1102815
Issued Full: 06/23/2011
Permit Type: Commercial Roofing
Amount Paid Comments
$140.50 PAID BY AJ SHIRK TRUST
$140.50
Fee Amount Amount Paid Date Paid
$140.50 $140.50 06/23/2011
TOTAL FEES: $140.50 $140.50
/ -TOTAL BALANCE DUE AS OF 06011:
}.
Amount Due
$0.00
$0.00
e L.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Farm Revised Oct 2010