HomeMy WebLinkAbout1725 E Prospect Rd - Permits/Demolition - 10/07/2016F6Collinsrt
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Site Address: 1725 E PROSPECT RD
Job Valuation: $2,450.00 Category: Medical/Dental Clinics
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Owner: 1725 E PROSPECT BLDG PTSHP RLLP
1725 E PROSPECT RD
FORT COLLINS, CO 80525 Phone: 970-221-2222
Building Permit #:
B1606036
Issued Full:
10/07/2016
Permit Type:
Demolition
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: MMN - MEDIUM DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: BRINKMAN CONST.; INC. License M B-361 Supervisor cert#: 2441-B
3528 PRECISION DR STE 100
FORT COLLINS, CO 80528 Phone: 970-267-0954
ubcontractor(s)- -Phone License Number
Electrical: PIPER ELECTRIC CO_ INC 303-422-9219 ... ME-437 .
Job Contact: PAUL BRINKMAN 970-267-0954..._
Work Description: Demolition of interior non-structural wall to create opening into a exam room.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FN13
TOTAL FEES PAID AS OF 10/07/16: $50.00 Payment method: Cash
** 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: 4);11 4-A— Print Name: Rd A111V':C-YV__ Date: 1 O ~ -7' 116
Form Revised Oct 2010
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c�ty of Commumty Deve opment&Neighborhoo Seruices
� 28i N. College Aue Fort Collins, CO 80522
Fort Coll�ns 970.221.6�60 970.224.6184 -fax
Building Permit#: B1606036
Issued Full: 10/07/2016
Permit Type: Demolition
Site Address: 1725 E PROSPECT RD
Job Valuation: 2 450.00 Category: Medical/Dental Clinics
�' Transactions
Method Check Mumber Date Paid Amount Paid Comments
Cash 10/07/2016 $50.00 Paid cash with(3)$20 bills,(2)$5 bills given as change.
Receipt issued: 10/07/2016 Total Paid to Date: $50.00
Fee Descriqtion Account Code Fee Amount Amount Paid Date Paid Amount Due
j Permit Flat Fee w/o Subs $50.1000.422010 $50.00 $50.00 10/07/2016 $0.00
TOTAL FEES: $50.00 $50.00 $0.00
� TOTAL BALANCE DUE AS OF 10/07/2016: 0.00
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Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Fortn Revised Oct 2010