HomeMy WebLinkAbout1052 W Vine Dr - Permits/Other - 11/02/2015���" Community Development & Neighborhood Services
F6rt�/Collins of 28iN.CollegeAve Tort Collins, COSos22
97o.22i.676o 97o.22g.6i34 -fax
Building Permit #: B1502887
Issued Full: 11/02/2016
Permit Type: Com, Ind or Mixed Use Alteration
Site Address: 1052 W VINE DR
Job Valuation: $8,500.00 Category: WTS/Telecommunications
Owner: GROVES THOMAS
1049 20 RD
FRUITA, CO 81521 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: CL - LIMITED COMMERCIAL 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:
Fire Sprklr: Stock plan #:
Contractor:
Const Type:
Stock plan options:
License #:
Phone:
Supervisor cert#: 2531-WTS
Subcontractors) . _ .._' Phone License Number
WTS: WESTERN TELECOM-INC 720-858-1115 -. WTS-26
Job Contact: ANNOUNCED TO BE
Work Description: Remove and replace antennas. Add equipment on existing monopole. For Verizon wireless. Reference MA150010.
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 FINE FNP FNM UGE AW
TOTAL FEES PAID AS OF 11/02/15: $467.26 Payment method: Check 2036
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 peril 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: /✓( r tAXdl�ZDate:
Form Revised Oct 2010
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�I}� �� Community Deuelopment&Neighborhood Seruices
�� � � 28i N. College Ave Fort Collins, CO 80522
� ort Collins
97o.22i.6�6o 9�0.22�{.6i34 -fax
Building Permit#: B1502887
' Issued Full: 11/02I2015
Permit Type: Com, Ind or Mixed Use Alteration
� Site Address: 1052 W VINE DR
� Job Valu�tion: 8 500.00 Category: WTS�felecommunications
: Transactions
' Method Check Number Date Paid Amount Paid Comments
` Check CK#2036 11l02/2015 $377.56 Pay by Western Telcom Inccheck#2036
Check CK#204 04/23/2015 $89.70 PAID BY CHARLES STECKLY ARCHITECTURE INC.
CHECK#204
Receipt issued: 11/02/2015 Total Paid to Date: $467.26
' Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
" Building Permit Fee w/Subs 1000.422010 �u186.30 $186.30 11/02/2015 $0.00
� City Sales/Use Tax 251.122030 $163.63 $163.63 11l02/2015 $0.00
, County Sales/Use Tax 100.217030 527.63 $27.63 11l02/2015 $0.00
; Plan Check Fee 1000.444010 589.70 �89.70 04/23/2015 $0.00
TOTAL FEES: $467.26 $467.26 $0.00
j . - . - -, - � TOTAL BALANCE DUE AS OF�11/0?J2015: - 0.00 I
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Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Fortn Revised Oct 2070
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