HomeMy WebLinkAbout321 Maple St - Permits/Temporary Structure - 08/25/2011Cltyof
F6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
97o.221.676o 970.224.6134 -fax
Building Permit #: B7105755
Issued Full: 08/25/2011
Permit Type: Temporary Structure
Site Address: 321 MAPLE ST
Job Valuation: $6,000.00 Category: Commercial Remodel
Owner: CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS, CO 80521
Zoning: Front setback: Rear setback:
Phone:
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: D - DOWNTOWN DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 0
# of stories:
Fire Sprklr.
Contractor:
Subcontractorfs
Filing #: Lot #: Block #: 42
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Job Contact MATT KOWAL.,
License #: Supervisor cert #:
Phone:
\. Phone rv� _ License Number
I
Work Descriotion: PERFORMANCE STAGE FOR TOUR-D7` FAT -TEMPORARY - SET UP SEPTEMBER 01. 2011 ANDTAKE
DOWN SEPTEMBER 03, 2011:SET UP AND TAKE DOWN( TO BE.POMPLETED BY "SUSTAINABLE WAVES". COMPANY Td f4A\
A WIND MANAGEMENT PROGRAM-- S0_THAT THE SUPER STRUCTURE WILL BE TAKEN DOWN IN THE EVENT OF HIGH WIN
TOTAL FEES PAID
SAS OF 08125111: 1252.51 Payment method: Check 3221
~ Fee Deft I DispfayW on Nod Plalp
Asa caldibm far to issuance of a pemR, I hereby declare Mat I am the owneror owner's agert, auCuaized to perform the proposed work on the property described herein.
I agree tD canpy wile all ft reglNe err t4= t 1ned herein, and Gly ordinances, and State laws assoclaied whh such work. I uudestarud that such pemd maybe
revobed in the event tgd isauenee was based on inooneet inbn atbn. This permit shall became null and void if the workaufnimd by such pemrit is riot eorrtmenmed,
stud, abandoned or not inspected within 180 daysfrom the date of amh permit
Stgnatu Print Name: , Date:
( �t / zs 1 I
Form Oct 2D10
ty
F6rt"'`Collins
Site Address: 321 MAPLE ST
Job Valuation: 6 000.00 Category: Commercial Remodel
Transactions
Check CK # 3221 08/252011 $252.51
Receipt issued: 08/25/2011 Total Paid to Date: $252.51
Fee Description Account Code Fee Amount
Building Permit Fee w/Subs 1000.422010 $7628
City Sales/Use Tax 251.122030 $115.50
County Sales/Use Tax 100217030 $24.00
Plan Check Fee 1000.444010 $36.73
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o$22
970.221.676o 970.224.6134 -fax
Building Permit M B1105755
Issued Full: 08/25/2011
Permit Type: Temporary Structure
Comments
PAID BY NEW BELGIUM BREWING CO CK #3221
Amount Paid Date Paid
$76.28
08/252011
$115.50
08252011
$24.00
08252011
$36.73
08252011
TOTAL FEES: $252.51 $252.51
TOTAL BALANCE DUE AS OF 0812512011:
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Amount Due
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Form Revised Oct 2010