HomeMy WebLinkAbout4775 BOARDWALK DR - PERMITS - 6/1/2015city of
Fort
Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1503030
Issued Full: 06/01/2015
Permit Type: Fence
Site Address: 4775 BOARDWALK DR
Job Valuation: $40,000.00 Category: Commercial Remodel
Owner: MIRAMONT OFFICE PARK OWNERS ASSN
4703A BOARDWALK DR
FORT COLLINS, CO 80525 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: 1812 ZBA Case #:
Zoning district: HC - HARMONY CORRIDOR DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 0 Com sq ft: _
# of stories: Occ Group: _
Fire Sprklr: Stock plan #: _
Contractor: CROSSLANDS CONSTRUCTION CO
5750 DTC Parkway #145
GREENWOOD VILLAGE, CO 80111
Subcontractors) . ...
Job Contact: JEFF DURB,ON
l
i
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
License #: C1-129 Supervisor cert#:
Phone: 303-390-9012
"Phone i ! License Number
303-390-9012_-
_ r
Work Description: Block retaining wall for Miramont Office Park"" r
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Insoections: SBF ZN FNB FR 'FD
TOTAL FEES PAID AS OF 06101/15: $1,759.01 Payment method: Check 1974
*' 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 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.
Signature: Print Name: 4E�2!! o�f_ ,S (,47ZFEC Date:
Form Kevisecf Oct 2010
City of
Community Development & Neighborhood Services
Fort Collins
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1503030
Issued Full: 06/01/2015
Permit Type: Fence
Site Address: 4775 BOARDWALK DR
Job Valuation: $40,000.00 Category:
Commercial Remodel
Transactions
Method Check Number pate Paid
Amount Paid
Comments
Check CK# 1974 05/04/2015
$1,759.01
Adam Rubenstein ck# 1974
Receipt issued: 06/01/2015 Total Paid to Date:
$1,759.01
Fee Description Account Code
Fee Amount
Amount Paid Date Paid Amount Due
Building Permit Fee w/Subs 1000.422010
$579.83
$579.83 05/04/2015 $0.00
City Sales/Use Tax 251.122030
$770.00
$770.00 05/04/2015 $0.00
County Sales/Use Tax 100.217030
$130.00
$130.00 05/04/2015 $0.00
Plan Check Fee 1000.444010
$279.18
$279.18 05/04/2015 $0.00
TOTAL FEES:
$1,759.01
$1,759.01 $0.00
TOTAL BALANCE DUE AS OF 06/01/2015: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form