HomeMy WebLinkAbout151 W Mountain Ave - Permits/Sign - 06/27/2017City of
F ort Collins
Site Address: 151 W MOUNTAIN AVE
Permit Type: Sign Job Valuation: $4,800.00
Owner: 151 MOUNTAIN LLC
416 W OAK ST
FORT COLLINS, CO 80521
Zoning: Plat File # ZBA Case #
Zoning district D - DOWNTOWN DISTRICT
Legal: Subdivision/PUD
Contractor: DAVINCI SIGN SYSTEMS INC
4496 BENTS DR
WINDSOR, CO 80550
Subcontractor(s)
Sign DAVINCI SIGN SYSTEMS INC
Job Contact JOHN SHAW
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 fax
Sign Permit #: B1703481
Issued Full: 06/27/2017
Minor Amend #
Filing # Lot # Block #
License # SG-1797
Phone970-203-9292
Phone
970-203-9292
970-203-9292
Work Description:
Install new N facing PRJW "OTTER SHOP" 1.8' x 3.5' illuminated sign
**********To schedule required inspection call 970-416-2745***********
TOTAL FEES PAID AS OF 06/27/17 $205.00 Payment method: Credit Card
" Fee Detail Displayed on Next Page
License Number
SG-1797
As a condition for the issuance of a permit. I hereby declare that I am the owner or owner's 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 0 the work authorized by such permit is not commenced,
suspendedabandoned or not inspected within 180 days from the date of such permit.
Signature:
Form Revised May 2011
Print Name:
Date:
of
F6rt Collins
Site Address: 151 W MOUNTAIN AVE
Permit Type: Sign Job Valuation: $4,800.00
Transactions:
Method Check Number Date Paid
Credit Card 06/27/2017
Receipt issued: 06/27/2017 Total Paid to Date:
Description Account Code
Building Permit Fee Without 1000.422010
Subs
City Sales/Use Tax 251,122030
County Sales/Use Tax 100.217030
Co17tnttulitg Development X Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Sign Permit #: B1703481
Issued Full: 06/27/2017
Amount Paid Comments
$205.00
$205.00
Fee Amount Amount Paid Date Paid Amount Due
$97.00 $9T00 06/27/2017 $0.00
$92.40 $92.40 06/27/2017 $0.00
$15.60 $15.60 06/27/2017 $0.00
TOTAL FEES: $205.00 $205.00 $0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
TOTAL BALANCE DUE: $0.00
Form Revised May 2011