HomeMy WebLinkAbout424 PINE ST - PERMITS - 7/17/2015" 7" Collins
_ - 281 N. College Ave Fort Collins, CO 80522
rt970.221.676o 970.224.6134-fax
Building Permit#: B1504935
Issued Full: 07/17/2015
Permit Type: Com, Ind or Mixed Use Alteration
ite Address: 424 PINE ST
:)b Valuation: $2,000.00 Category: Prof Office & Pers Svcs
FORT COLLINS AREA UNITED WAY INC
424 PINE ST
FORT COLLINS, CO 80524-2421 Phone: 970-407-7000
g: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: MULTI
Subdivision/PUD: Filing #: Lot #: Block #:
ode: Res sq ft: 0
# of stories: _
Fire Sprklr: Yes
ontractor:
Contact: Jean Grove
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: B Const Type: III-B
Stock plan #: Stock plan options:
License #: Supervisor cert#:
Phone:
Phone License Number
970-407-7000
Work Description: Tenant finish for United Way of Larimer County building, to include seperating suite 202 from suite 203; closing 3
doorways connecting the suites and adding one doorway. Building owner to acting as general contractor. Building owner autorization
on file.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FP UGP HC IN FD RM HD SBF FNB EG SWR WTR FR RE RP GL FNE FNP FNM UGE A
TOTAL FEES PAID AS OF 07/17/15: $134.44 Payment method: Credit Card 5656
* Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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: � / �%2/`� Print NarnK �� G�rc �e-.6ate:
ins970.221.676o 970.224.6134 -fax
Building Permit #: B1504935
Issued Full: 07/17/2015
Permit Type: Com, Ind or Mixed Use Alteration
iite Address: 424 PINE ST
ob Valuation: $2,000.00 Category: Prof Office & Pers Svcs
lethod Check Number Date Paid
Amount Paid
Comments
redit Card CK# 5656 07/17/2015
$134.44
United Way Larimer
County CC
eceipt issued: 07/17/2015 Total Paid to Date:
$134.44
ee Description Account Code
Fee Amount
Amount Paid
Date Paid
uilding Permit Fee w/Subs 1000.422010
$89.44
$89.44
07/17/2015
ity Sales/Use Tax 251.122030
$38.50
$38.50
07/17/2015
ounty Sales/Use Tax 100.217030
$6.50
$6.50
07/17/2015
TOTAL FEES: $134.44 $134.44
TOTAL BALANCE DUE AS OF 07/17/2016:
Amount Due
$0.00
$0.00
$0.00
$0.00
OAO
Fee Amounts are valid for date of this document only. Fees subject to change without notice.