HomeMy WebLinkAbout1125 S Shields St - Permits/Addition or Alteration - 06/15/2020F�roCollins
Site Address: 1125 S SHIELDS ST, FLAG
Job Valuation: $1,200.00 Category: Miscellaneous
Owner: PREVITE RICHARD/CYNTHIA LYNN TRUST
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B2005670
Issued Full: 06/15/2020
Permit Type: Residential Minor Alteration
1125 S SHIELDS ST
FORT COLLINS, CO 80521-4524 Phone: 970-224-4746
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: MULTI
Legal: Subdivision/PUD: Filing#: Lot#: B Block#:
Code: Res sq ft: 0 Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: GC BUILDERS
816 GREGORY RD
FORT COLLINS, CO 80524
Subcontractor(s)
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: D-371 Supervisor cert#: 1048-D1
Phone: 970-493-1394
Phone License Number
Work Description: Installation of a 25 foot aluminum flag pole. Job contact: Gene Cramer 970-980-8317.
SCHEDULE INSPECTIONS: ** via.Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 102 205 200 202 204 303 302 203 301 201 300 207
TOTAL FEES PAID AS OF 06/15/20: $87.64 Payment method: Credit Card 2266
*` 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.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature:
Print Name:
Date:
Form Revised Oct 2010
CI}" O� Community Development&Neighborhood Seruices
Fort Collins 281N. CollegeAve FortCollins, COSo522
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Building Permit#: B2005670
Issued Full: 06I15/2020
Permit Type: Residential MinorAlteration
Site Address: 1125 S SHIELDS ST, FLAG
Job Valuation: 1 200.00 Category: Miscellaneous
Transactions �
Method Check Number Date Paid Amount Paid Comments
CreditCard CK#2266 06/03/2020 $87.64
Receipt issued: 06/15/2020 Total Paid to Date: $87.64
Fee Description Account Code Fee Amount A'mount Paid Date Paid Amount Due
Building Permit Fee w/Subs 1000.422010 $59.74 $59.74 06/03/2020 $0.00
City Sales/Use Tax 251.122030 $23.10 $23.10 06/03/2020 $0.00
County Sales/Use Tax 100.217030 $4.80 $4.80 06/03/2020 $0.00
TOTAL FEES: $87.64 , $87.64 $0.00
TOTAL BALANCE DUE AS OF 06/15/2020: 0.00
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Fortn Revised Oct 2070