HomeMy WebLinkAbout1221 E Elizabeth St - Permits/Tenant Finish - 05/12/2014F6rtCollins
Site Address: 1221 E ELIZABETH ST, 3
Job Valuation: $8,550.00 Category: MedicaVDental Clinics
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1401798
Issued Full: 05/12/2014
Permit Type: Com, Ind or Mixed Use Alteration
Owner: MATTISON PROPERTIES LLC
2815 SCHOONERS CT
LOVELAND, CO 80538 Phone: 970-420-8818
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: E - EMPLOYMENT DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 0
# of stories: _
Fire Sprklr: No
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: B Const Type: V-B
Stock plan #: Stock plan options:
Contractor: COMPLETE CARPENTRY, INC.
3005 PARKVIEWCT I I . ,
FORT COLLINS,ICO 80525 '\ Phone: 970-217-7215
C970-20!1771
3-INC 9922
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Electrical: I I WATTS
Plumbing: COLOR
i
L/
Work Description: TE
structural wall, electric and
License #: E-69 Supervisor cert#: 698-E
License Number
ME-943
i 3
hanael 3.200 so ft tenant finish to include:
Separate demo permit on B1401797
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 ***By Web: http://amos.fcgov.com/CitizenAccess II
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FP UGP HC IN FD RM HD SBF FNB EG SWR WTR FIR RE RP GL FNE FNP FNM UGE AW
TOTAL FEES PAID AS OF 05112/14: $466.24 Payment method: Check 5670
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incored information. This permit shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permiL
Signature. "aC�A Print Name. (I � � Date: -�- i -�' - I
Form Revised Oct 2010
City of Community Development & Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1401798
Issued Full: 06/12/2014
Permit Type: Com, Ind or Mixed Use Alteration
Site Address: 1221 E ELIZABETH ST, 3
Job Valuation: $8,550.00 Category: Medical/Dental Clinics
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK # 5670 05/12/2014 $376.54 Paid by ck#5670 by Complete Carpentry Inc for $376.54
Check CK # 5659 04/16/2014 $89.70 Paid by COMPLETE CARPENTRY INC check #5659
Receipt issued: 05/12/2014 Total Paid to Date: $466.24
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee w/Subs 1000.422010 $186.30 $186.30 05/12/2014 $0.00
City Sales/Use Tax 251.122030 $164.59 $164.59 05/12/2014 $0.00
County Sales/Use Tax 100.217030 $25.65 $25.65 05/12/2014 $0.00
Plan Check Fee 1000.444010 $89.70 $89.70 04/16/2014 $0.00
TOTAL FEES: $466.24 $466.24 $0.00
TOTAL -BALANCE DUE AS OF 05/12/2014: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.