HomeMy WebLinkAbout914 W LAKE ST - PERMITS - 6/10/2011City of
F6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1102113
Issued Full: 06/10/2011
Permit Type: Com, Ind or Mixed Use Alteration
Site Address: 914 W LAKE ST,1
Job Valuation: $20,000.00 Category: Office, Fin Svc <5000
Owner: CD AND CG LLC
4787 VALHALLA DR
BOULDER, CO 80302
Phone: 482-3898
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: HMN - HIGH DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Filing #: Lot M Block M
Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft:
# of stories: 3 Occ Group: B Const Type: V-A
Fire Sprklr: No Stock plan M Stock plan options:
Contractor: BRINKMAN CONST INC. r
3003 E HARMONY STE,3E000 �VA. O
FORT COLLINS, CO 80528� �
License #: B-361 Supervisor cert#: 2441-B
�. L ID
Phone:970-267-0954
II ** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess ** III
Inspections: FP UGP IN HC SBF FD SWR WTR FR RE EG RP RM GL FNB FNE FNP FNM UGE HD AW
TOTAL FEES PAID AS OF 06/10/11: $846.01 Payment method: Check 17765
** 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. 1 understand that such permit may be
revoked in the event that issuance was based on incorrect information. This permit shall become null and void ff the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Signature Print Name. 'r Date: 401110 //
Forrn Revised Oct 2010
of
F6rt`ll
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1102113
Issued Full: 06/10/2011
Permit Type: Com, Ind or Mixed Use Alteration
Site Address: 914 W LAKE ST, 1
Job Valuation: $20,000.00 Category: Office, Fin Svc <5000
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Check CK# 17765 06/10/2011
$754.68
PAID BY BRINKMAN CONSTRUCTION,
INC. CK#17765
Check CK # 17427 05/17/2011
$91.33
BRINKMAN CONST
CK#17427
Receipt issued: 06/10/2011 Total Paid to Date: $846.01
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs 1000.422010
$189.68
$189.68
06/10/2011
$0.00
City Sales/Use Tax 251.122030
$385.00
$385.00
06/10/2011
$0.00
County Sales/Use Tax 100.217030
$80.00
$80.00
06/10/2011
$0.00
Permit Flat Fee - $100 1000.422010
$100.00
$100.00
06/10/2011
$0.00
Plan Check Fee 10000.444010
$91.33
05/17/2011
$0.00
�$91.33
.-
TOTAL FEES �l�f
) z$846.01
$846.01
$0.00
TOTAL
V
BALANCE WE.AIS OF 06MUM. 1 .� � 0.00
it
I L L
Fee Amounts are valid for date of this document only. Fees subject to change without notice.