HomeMy WebLinkAbout4700 BOARDWALK DR - PERMITS - 1/20/2016/artof
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Site Address: 4700 BOARDWALK DR
Job Valuation: $3,500.00 Category: Retail Estab > 25000 SF
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1600203
Issued Full: 01/20/2016
Permit Type: Commercial Electrical
Owner: C/O WAL-MART PROPERTY TAX DEPT
PO BOX 8050
BENTONVILLE 72712-8050 Phone:479-878-3524
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: HC - HARMONY CORRIDOR DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor:
Subcontractor(s)..-
Electrical: DEEM, LLC
Job Contact: Brad . Darnell - .
License #: Supervisor cert#:
Phone:
Phone License Number
317-860-2990 ME-1464 .... .
317-860-2990 ....... .
Work Description: Adding two self contained refrigerated cases to customer pick up area, work to include electrical and plumbing.
Building owner authorization on'file. Job Contact: Jeff Strayley 72.0-974-2852
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess I
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: RE EG FNE UGE FNM FNP
TOTAL FEES PAID AS OF 01/26/16: $166.50 Payment method: Check 509939
** 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:
Date:
Form Revised Oct 2010
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Site Address: 4700 BOARDWALK DR
Job Valuation: $3,500.00 Category: Retail Estab > 25000 SF
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1600203
Issued Full: 01/20/2016
Permit Type: Commercial Electrical
Transactions
Method Check Number Date Paid Amount Paid Comments
Check C K # 509939 01/20/2016 $109.11 PAID BY DEEM LLC. CK# 509939
Fund Transfer 01/14/2016 $56.39 Transferring funds from B1507570 to B1600203.
Receipt issued: 01/26/2016 Total Paid to Date: $165.50
Fee Description
Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without
1000.422010
$86.75
$86.75
01/20/2016
$0.00
Subs
City Sales/Use Tax
251.122030
$67.38
$67.38
01/20/2016
$0.00
County Sales/Use Tax
100.217030
$11.37
$11.37
01/20/2016
$0.00
TOTAL FEES
Fee Amounts are valid for date of this document only. Fees subject to change without notice.