HomeMy WebLinkAbout424 PINE ST - PERMITS - 8/18/2011F6rt"�„�ls
Site Address: 424 PINE ST
Job Valuation: $8,000.00 Category: Child Care Services
Owner: FORT COLLINS AREA UNITED WAY INC
Community Development & Neighborhood Services
28. N. College: Ave Fort Collins, CO 80522
97o.221.6760 970.224.6.134 fax
Building Permit #: B1.104913
Issued Full: 08/18/2011
Permit Type: Corn, Ind or Mixed Use Alteration
424 PINE ST ,
FORT COLLINS, CO 80524 Phone:493-2628
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: MULTI
Legal: Subdivision/PUD:. Filing#: Lot #: Block #:
Code: Res sq ft: 0 Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: E Const Type: III-B
Fire Sprklr: Yes Stock plan #: Stock plan options:
Contractor: BRINKMAN CONST,.INC:
3003 E HARMONY STE 300-
FORT COLLINS, CO 80528
Subcontractor(sl
Mechanical:
Plumbing:
Work Description
License #: B-361 Supervisor cert#: 2441-B
Phone: 970-267-0954
PRESCHOOL/DAYCARE - OWNER AUTHORIZATION ON, FILE: REQUIRES INSTALLATION OF REDUCED PRESSURE "�..
ASSEMBLY (RPA)BACKFLOW PREVENTOR-ON_MAtN-DOMESTIC WATER LINE AS IT ENTERS THE BUILDING; CERTIFIED
TESTER MUST TEST DEVICE AFTER INSTALLATION -->Norm Mill 970-416-2249 nmill@fcgov.com
SCHEDULE INSPECTIONS *** By Phone 221-6769 1 By Web: htta://amos.fcaov.com/CitizenAccess
or
FP UGP IN HC SBF FD SWR WTR FIR RE EG RP RM GL FNB FNE FNP FNM UGE HD AW
TOTAL FEES PAID AS OF 08/18111: S323:01 Payment method: Check 18588
Fee Devil 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 wilt, 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 pent shay 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
Signature: 9V4 Print Name: RAA&a vv lilt r C Date:
Form Revd
Of
F6rt�"�-Collins
Site Address: 424 PINE ST
Job Valuation: $8,000.00 Category: Child Care Services
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970-224.6134 -fax
Building Permit #: 131104913
Issued Full: 08/18/2011
Permit Typi : Com, Ind or Mixed Use Alteration
Check CK# 18588 08/15/2011
$323.01
PAID BY BRINKMAN CONSTRUCTION, INC CK#18588
Receipt issued: 08/18/2011 Total Paid to Date:
$323.01
Fee Description
Account Code
Fee Amount
Amount.Paid
Date Paid
Amount Due
Building Permit Fee w/Subs
1000.422010
$92.48
$92.48
08/15/2011
$0.00
City Sales/Use Tax
251.122030
$154.00
$154.00
08/15/2011
$0.00
County Sales/Use Tax
100.217030
$32.00
$32.00
08/15/2011
$0.00
Plan Check Fee
1000.444010
$44.53
$44.53
08/15/2011.
$0.00
TOTAL.FFES: $323.01 $323.01
i
�-:--------- _ �� -:_- nTer .RAl eMCE DUE AS -OF nsy4wi011
$0.00
eAO
Fee Amounts are valid for date of'this document only. Fees subject to change without notice.