HomeMy WebLinkAbout4750 Pleasant Oak Dr - Permits/Reroof - 07/31/2012City of Community Development & Neighborhood Services
281 N. Col
lege Ave Fort Collins, CO 80522
ort Collins 970.221.676o 970.224.6134-fax
FBuilding Permit #: B1204602
Issued Full: 07/31/2012
Permit Type: Commercial Roofing
Site Address: 4750 PLEASANT OAK DR
Job Valuation: $280,215.00 Category: Nursing/Rebrement Home
Owner: RETIREMENT COMMUNITY MAIN BUILDING
4750 PLEASANT OAK DR
FORT COLLINS, CO 80525
Zoning: Front setback: Rear setback:
Phone: 303-678-7828
Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: HC - HARMONY CORRIDOR DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 0 Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ROOF CHECK,
1610 SKYWAY DR
LONGMONT, C6� 80504
Filing #: Lot #: 1 Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
r License #: R-1377 Supervisor cert #:
1�� Phone:303-678-7828
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: RF
TOTAL FEES PAID AS OF 07/31/12: $7,773.31 Payment method: Check 33763
Fee Detail Displayed on Next Page
As a 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 incorrect information. This permit shall become null and void If the work audioraed by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit
Signature: Print Namei i/�5 Date: 71112-
Form Revised Oct 2010
Cityof Community Development & Neighborhood Services
Fort -Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1204602
Issued Full: 07/31/2012
Site Address: 4750 PLEASANT OAK DR Permit Type: Commercial Roofing
Job Valuation: $280,215.00 Category: Nursing/Retirement Home
Transactions
Check CK# 33763 07/31/2012
$7,773.31
PAID BY ROOF CHECK CH#33763
Receipt issued: 07/31/2012 Total Paid to Date:
$7,773.31
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without 1000.422010
$1,538.50
$1,538.50
07/31/2012
$0.00
Subs
City Sales/Use Tax 251.122030
$5,394.16
$5,394.16
07/31/2012
$0.00
County Sales/Use Tax 100.217030
$840.65
$840.65
07/31/2012
$0.00
TOTAL FEES: $7,773.31
TOTAL 13
L
O
$7,773.31
$0.00
DE DUE AS OF 07/31/2012: 0.00
El
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010