HomeMy WebLinkAbout424 PINE ST - PERMITS - 3/22/2012of
rrt Collins
Site Address: 424 PINE ST
Job Valuation: $1,000.00 Category: Commercial Remodel
Owner: FORT COLLINS AREA UNITED WAY INC
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1200746
Issued Full: 03/22/2012
Permit Type: Com, Ind or Mixed. Use Alteration
424 PINE ST
FORT COLLINS, CO 80524 Phone: 407-7000
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: MULTI
Legal: Subdivision/PUD: Filing #: Lot #: Block M
Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: B Const Type: III-B
Fire Sprklr: Yes Stock plan M Stock plan options:
Contractor:
5ubcontractor`(s1.
Electrical: R. HOFFMAN' S ELECTRIC
O
Work Description: REMOVE WALL AND ADD DOOR,
HOUSE WITH ASSISTANCE OF -ELECTRICIAN. /
License #:
Phone:
Supervisor cert#:
License Number
R/� M 645
OWNER AUTH REC. WORK TO BE:DONE IN
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess II
***Bv Mobile Device: htto://amos.fcaov.com/CitizenAccess/amca/
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 03/22/12: $52.31 Payment method: Credit Card
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 incurred inkxmation. 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.
Signature. Print Name: r��/97 C`_ C7X'-%'Date:
Form Revised Oct 2010
arof
t Collins
Site Address: 424 PINE ST
Job Valuation: $1,000.00 Category: Commercial Remodel
Transactions
Method Check Number Date Paid Amount Paid
Credit Card 03/22/2012 $52.31
Receipt Issued: 03/22/2012 Total Paid to Date: $52.31
Fee Description Account Code Fee Amount
Building Permit Fee w/Subs 1000.422010 $52.31
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1200746
Issued Full: 03/22/2012
Permit Type: Com, Ind or Mixed Use Alteration
Comments
PAID BY JEAN GROVE CC
Amount Paid Date Paid Amount Due
$52.31 03/22/2012 $0.00
$52.31 $52.31
$0.00
TOTAL BALANCE DUE AS OF 03/22/2012: 0.00
O O
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct2010