HomeMy WebLinkAbout424 PINE ST - PERMITS - 6/19/2009City of
F6rt Collins
Site Address: 424 PINE ST
Job Valuation: $5,000.00 Category: Child Care Services
Owner: FORT COLLINS AREA UNITED
424 PINE ST
FORT COLLINS, CO 80524
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-o58o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0902698
Issued Full: 06/19/2009
Permit Type: Patio Cover
Phone: 493-2628
Zoning: Front setback: Rear setback: 6-FENCE
Zoning district: MULTI Plat File #:
Legal: Subdivision/PUD:
Code: Res sq ft: 0 Com sq ft: 256 Ind sq ft:
# of stories: Occ Group:
Stock plan #:
Contractor: GO PLAY, LLC
P.O. BOX 323
DRAKE, CO 80515
Subcontractor(s) - --
Job Contact: ANNOUNCED TO BE
Right setback:
ZBA Case #:
Filing #: Lot #:
Const Type:
Stock plan options:
Left setback:
Minor Amend M
Basement sq ft:
Block #:
License #: D2-114 Supervisor cert#: 2941-D2
Phone: 970-593-1835
Phone -
i
License Number
Work Description: INSTALL (1) EXTERIOR 16X16 FABRIC SHELTER. WITH METAL FRAME FOR -UNITED WAY
DAYCARE
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
Inspections: SBF FR FNB
TOTAL FEES PAID AS OF 06/19/09 $196.01 Payment method: Check 569
*` Fee Detail Displayed on Next Page
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 if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
0;� Signature: t Name: ► t, 1"ate:
Form Revised Oct 2008
Wiof
t_ Collins
Site Address: 424 PINE ST
Job Valuation: $5,000.00 Category: Child Care Services
Transactions
Method Check Number Date Paid
Check CK # 569 06/19/2009
Check CK # 563 05/15/2009
Receipt issued: 06/19/2009 Total Paid to Date
Fee Description Account Code
Building Permit Fee w/Subs 1000.422010
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Plan Check Fee 1000.444010
Amount Paid
$163.18
$32.83
$196.01
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-058o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0902698
Issued Full: 06/19/2009
Permit Type: Patio Cover
Comments
DAVID VANWORMER
GO PLAY LLC CK#563
Fee Amount Amount Paid
$68.18
$68.18
$75.00
$75.00
$20.00
$20.00
$32.83
$32.83
Date Paid
Amount Due
06/19/2009
$0.00
06/19/2009
$0.00
06/19/2009
$0.00
05/15/2009
$0.00
TOTAL FEES: $196.01 $196.01 $0.00
TOTAL BALANCE DUE AS OF
06J19/2009: _ 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.