HomeMy WebLinkAbout412 W Laurel St - Permits/Tenant Finish - 06/05/2015City of Community Development & Neighborhood Services
F6rt Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 990.224.6134 -fax
Building Permit#: B1502598
Issued Full: 06/05/2015
Permit Type: Com, Ind or Mixed Use Alteration
Site Address: 412 W LAUREL ST
Job Valuation: $125,000.00 Category: Fraternal Organization
Owner: PHI EPSILON HOUSE CORP
PO BOX 891
FORT COLLINS, CO 80522-0891 Phone: 303-257-7968
Zoning: Front setback: 18.5 Rear setback: 0-existing bldg Right setback: 48
Minor Amend #: Plat File #: ZBA Case #: _
Zoning district: NCB - NEIGHBORHOOD CONSERVATION - BUFFER DISTRICT
Legal: Subdivision/PUD: Filing#
Left setback: 34
Lot#: Block#:
Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: _
Fire Sprklr: Stock plan #:
Contractor: ELDER CONSTRUCTION INC
7380 Greendale Rd
Windsor, CO 80550
Subcontractor(s)
Electrical: HIGHPOINT ELECTRIC
Job Contact: PATRICK .ELDER
Const Type:
Stock plan options:
License #: B-396 Supervisor cert#: 2948
Phone: 970-744-2257
Phone License Number
877-887-4248 ME-1374
970-744-2257
Work Description: New exterior trellis and entry storefront system for Phi Epsilon of Kappa Delta. Building owner authorization on file.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
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 06/05/15: $4,641.51 Payment method: Check 42231
" 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 incorrect 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: _ Print Name: _�/�f` A&f E Date: S
Form Revised Oct 2010
City of
Community Development & Neighborhood Services
Fort Collins
281N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit#:
B1502598
Issued Full:
06/05/2016
Permit Type: Com, Ind or Mixed Use Alteration
Site Address: 412 W LAUREL ST
Job Valuation: $125,000.00 Category:
Fraternal Organization
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Check CK# 42231 06/05/2015
$4,047.08
Pay by Elder Construction check # 42231
Check CK # 041996 04/14/2015
$594.43
Elder Construction Ck # 041996
Receipt issued: 06/05/2015 Total Paid to Date:
$4,641.51
Fee Description Account Code
Fee Amount
Amount Paid Date Paid
Amount Due
Building Permit Fee w/Subs 1000.422010
$1,234.58
$1,234.58 06/05/2015
$0.00
City Sales/Use Tax 251.122030
$2,406.25
$2,406.25 06/05/2015
$0.00
County Sales/Use Tax 100.217030
$406.25
$406.25 06/05/2015
$0.00
Plan Check Fee 1000.444010
$594.43
$594.43 04/14/2015
$0.00
TOTAL FEES:
$4,641.51
$4,641.51
$0.00
TOTAL BALANCE DUE AS OF 06/05/2015:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.