HomeMy WebLinkAbout1100 Poudre River Dr - Permits/Mechanical - 05/25/2012arof
t Collins
Site Address: 1100 POUDRE RIVER DR. A
Job Valuation: $2,550.00 Category: Medical
Owner: INTERNAL MEDICINE CLINIC
1100 POUDRE RIVER DR
FORT COLLINS, CO 80524
Zoning: Front setback:
Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1201444
Issued Full: 05/25/2012
Permit Type: Commercial Mechanical
Phone: 970-217-2444
Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: CCR -COMMUNITY COMMERCIAL - POUDRE RIVER DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 0 Com sq ft: _
# of stories: Occ Group: _
Fire Sprklr: Stock plan #: _
Contractor: NORTH. COLORADO AIR,
812 STOCKTON'AVE
FORT COLLINS, CO 80524
Subcontractor"(s) 1
Mechanical: NORTH.
Job Contact: I RR_GRI
u
Work Description: REPLACE STOLEN CONDEf
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: H-837
Phone: 970-223-8873
Basement sq ft:
Supervisor cert#:
License Number
H-837
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amca/
Ins ections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 05/25/12: $76.50 Payment method: Trust Account
Fee Detail Displayed on Next Page
Asa condition for the issuance of a permit, I hereby declare that I am the owneror 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 incorect 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 permit
Signature: f� Print Name:
Date:
Form Revised Oct 2010
C�ty �f Community Deuelopment&Neighborhood Seruices
Fort Coll i ns 281 N. CollegeAue Fort Collins, CO So522
97o.22i.6�6o 9�o.22q.6i34 -fax
Building Permit#: B1201444
Issued Full: 05/25/2012
Permit Type: Commercial Mechanical
Site Address: 1100 POUDRE RIVER DR. A
Job Valuation: 2 550.00 Category: Medical
Transactions ,
Method Check Number Date Paid Amount Paid Comments
Trust Account 03/23/2012 $76.50 NORTH COLO TRUST
Receipt issued: 05/25/2012 Total Paid to Date: $76.50
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without 1000.422010 $76.50 $76.50 03/23/2012 $0.00
Subs
TOTAL FEES: $76.50 $76.50 $0.00
!% � :- TOTAL BALANCE DUE AS OF OS/25/2012: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Fortn Revlsed Oct 2010
Ci}�� O f Community Deuelopmeni&Neighborhood Seruices
�
�ort Colli ns 281 N. CollegeAue Fort Collins,CO So522
97o.22i.6�6o 9�o.a24.6i34-fax
�� Building Permit#: B1201444
Issued Full: OS/25/2012
Permit Type: Commercial Mechanical
Site Address: 1100 POUDRE RIVER DR. A
Job Valuation: 2 550.00 Category: Medical
Owner: INTERNAL MEDICINE CLINIC
1100 POUDRE RIVER DR
FORT COLLINS, CO 80524 Phone: 970-217-2444
ZOning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend#: Plat File#: ZBA Case#:
Zoning district: CCR-COMMUNITY COMMERCIAL-POUDRE RIVER DISTRICT '
Legal: Subdivision/PUD: Filing#: Lot#: 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#: Stock plan options:
COnt�aCto�: NORTH. COLORADO AIR License#: H-837 Supervisor cert#:
812 STOCKTON AVE -
FORT COLLINS;CO 80524'; � ' Phone: 970-223-8873
SubcontractoF(s) �1 ,% "PFione C License Number
Mechanical: NORTH. COLORADO AIR,`,� i_, 970-223-8873 ._ � L] H-837/�'�
Job Contact: �RR GRIF,FW�`� � � �� �� � --.� / �
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Work Description REPLACE STOLEN CONDENSER�ON G O D —�`��^ + "`��
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SCHEDULE INSPECTIONS: •**By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CltizenAccess
**"B Mobile Device: htt ://amos.fc ov.comYCitizenAccess/amca/
Ins ections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 06/13/12: 576.50 Payment method: Trust Account ,
"Fee Defa/l Dlsp/ayed on Next Page
As a condNon for the issuance of a pertnd,I hereby deGare that I am tlie owneror owners agerri,autharzed to perfortn the proposed work on the property desaibed herein.
1 agree to comply with all U�e requiremerris oontained herein,and Cily o�nances,and State laws assodated wilh such wrnk. I understand ihat such pertnit may be
revoked in the eveM that issuance was based on incorred iMortnation. This pertnil shall becane null and wid'rf the work author¢ed by such pertnil is rrot commenced,
suspended,abandoned or not inspeded wilhin 180 days from the date of such pertnR.
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Signature: Print Name: Date:
• Form Revised Oct 2010