HomeMy WebLinkAbout114 BRISTLECONE DR - PERMITS - 4/5/2016F-1—Y -1
6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #:
B1601696
Issued Full:
04/06/2016
Permit Type:
Demolition
Site Address: 114 BRISTLECONE DR
Job Valuation: $40,000.00 Category: Medical/Dental Clinics
Owner: POUDRE VALLEY HEALTH CARE INC
2315 E HARMONY RD STE 200
FORT COLLINS, CO 80528-8620 Phone: 970-495-7458
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: CS - SERVICE COMMERCIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ROCHE CONSTRUCTORS
361 71 st Ave
GREELEY, CO 80634
Subcontractor(s).-..----
Job Contact: CARLIN NAFZIGER, ,
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: B-336 Supervisor cert#: 2692-B
Phone: 970-356-3611
Work Description: All interior non-structural demolition of walls in preparation for tenant finish (on separate permit B1601677.)..for
University of Colorado Health Cliriic..Buildino owner authorization o.n-file.
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: FN13 11
TOTAL FEES PAID AS OF 04/05/16: $50.00 Payment method: Check 306226
** 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: G a (2 .y Fs 5 sL Date: ( 6
Form Revised Oct 2010
No Text