HomeMy WebLinkAbout4700 BOARDWALK DR - PERMITS - 3/12/2004Community Planning & Environmental Services
Building & Inspections Division
�i P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 4700 BOARDWALK DR
PERMIT TYPE
DEMO Demolition
Last Name, First, Middle Initial
SAMS REAL ESTATE BUS, TRUST
L Address
Z City/State
3 702 S.W. 8TH ST BENTONVILI
Zip Phone No.
72716-8013 479-204 -0489
Z Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
Q
wLot Block Lot Area 4 Parcel No.
J Jl
,9� Company Name Contractor License No.
Address City/State
iYr. Li KTr nn 92102 rn, nn
Phone Supervisor Cert. No.
7'90 L4jncnn
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Electrical License No.
j�e
Mechanical
License No.
0
H
URoofing
H
License No.
Z
Framing
License No.
V
m
Plumbing
License No.
V)
AI I CIJ 0, aNDTAiC 0 UCAT?AI^
Concrete I License No
DEMOLITION OF E)CTERIOR WEST WALL FOR SAM'S CLUB
NA
RMIT
BUILDING PERMIT
Building Valuation
B0401287 ACCOUNT
PERMIT DATE
i.'.J�...•'+ �iiiui (it w� JubS
LEVEL CATEGORYTYPE
ISSU_FUL Non Res Bldg Conts
Construction Type Occupancy Group
p No. of Stories Building Height
OI Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
SII f N�
As A condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all 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 or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
Print name of owner/agent Si nature Date TOTAL FEES
FEE DATE PAID
a15.c 141
$15.