HomeMy WebLinkAbout155 E Boardwalk Dr - Permits/Other - 06/08/2010�t Collins
Community Development & Neighborhood Services
28i N College Ave Fort Collins CO 8o522
970 2216760 970 224 6134 -fax
Budding Permit # B1002674
Issued Full 06/08/2010
Permit Type Com, Ind or Mixed Use Addition
Site Address 155 E BOARDWALK DR
Job Valuation $20,000 00 Category WTSITelecommunications
Owner RHYS CHRISTIANSON
FORT COLLINS CO Phone
Zoning Front setback Rear setback Right setback
Minor Amend # me 100031 Plat File # ZBA Case #
Zoning district
Legal Subdivision/PUD
Left setback
Filing # Lot # Block #
Code Res sq ft 0 Corn sq ft Ind sq ft Basement sq ft
# of stones 0 Occ Group U Const Type II B
Fire Sprklr No Stock plan # Stock plan options
Contractor WIRELESS CONSTRUCTION SVCS License # WTS 29 Supervisor cert# 2984-WTS
28051 CAMEL.HEIGHJS
EVERGREENS CO 8I0II4I39 Phone 303 756 2160
Subcontractor(s)____, � LJ Q Phone License Number
Electrical TREVOSE ELECTRIC INC 720 890-0894 ME 1171
WTS WIRELESS CONSTRU�CTIONiSVCS 303 756-2160 ❑[is
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Work Description INSTALL WIRELESS CO LOCATE ROOFTOP'EQUIPMENT itND ANTENNAS FOR 21W,
IRELESS
\
FACILITY
r - =
" SCHEDULE INSPECTIONS ' By Phone
221-6769
""" By Web
http //aaweb fcgov com/CitizenAccess'"'
Inspections SBF FD UGP SWR WTR FIR RE
EG RP
RM GL IN
FNE FNP FNM UGE HD AW HC FNB FP
TOTAL FEES PAID AS OF 06/08/10 661 01 Payment method Check 21494
Fee Detail Displayed on Nett Page
As a condition for the issuance of a pemut I hereby doom that I am the owner or owners agent, authorized to perform the proposed work on the property described herein
I agree to oomply with all the requirements contained herein and City ordinances and State laws associated with such work I understand that such pemut may be
mvoked in the event that issuance was based on inconed mfonnabon This pemut shall become null and void d the work authorized by such permit is not conirrienced
suspended abandoned or not inspected within 180 days from the date of such pemut
Signature Print Name &104 /IfflWk Date
Form Revised May 2010
City of Community Development & Neighborhood Services
Fort Collins 281 N College Ave Fort Collins CO 80522
97o 221 676o 97o 224 6134 fax
Building Permit # B1002674
Issued Full 06/08/2010
Permit Type Com, Ind or Mixed Use Addition
Site Address 155 E BOARDWALK DR
Job Valuation $20,000 00 Category WTS/Telecommunlcabons
Transactions
Check CK#21494 06/08/2010
$56968
WIRELESS CONSTRUCTION SVCS
Check CK # 00207491 05/21/2010
$91 33
CLEARWIRE CK# 00207491
Receipt issued 06/08/2010 Total Paid to Date
$661 01
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs 1000 422010
$189 68
$189 68
06/08/2010
$0 00
City Sales/Use Tax 251 122030
$300 00
$300 00
06/08/2010
$0 00
County Sales/Use Tax 100 217030
$80 00
$80 00
06/08/2010
$0 00
Plan Check Fee 1000 444010
$91 33
$91 33
05/21/2010
$0 00
FETOTALES
$661 01
FF II
$661 01
$0 00
F H (W
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M
Fee Amounts are valid for date of this document only Fees subject to change without notice