HomeMy WebLinkAbout3702 Automation Way - Permits/Tenant Finish - 10/13/2009F6rtCollins
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-058o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0905875
Issued Full: 10/13/2009
Permit Type: Com, Ind or Mixed Use Alteration
Site Address: 3702 AUTOMATION WAY, 101
Job Valuation: $70,000.00 Category: Prof Office & Pers Svcs
Owner: LDL LITTLE BIGHORN, LLC
255 E MONROE DR 4
FORT COLLINS, CO 80525
Zoning: Front setback: Rear setback:
Zoning district: E Plat File #:
Legal: Subdivision/PUD:
Phone: 229-9900
Right setback:
ZBA Case #:
Filing #:
Left setback:
Minor Amend #:
Lot #: 1 Block #:
Code: Res sq ft: 0 Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: B Const Type: V-A
Stock plan #: Stock plan options:
Contractor: RINCON DEVELOPMENT, INC.
1800 BROADWAY #210
BOULDER, CO 80302
Subcontractor(s)..-.. ----
Electrical: ---MERIT ELECTRIC, INC.
Mechanical: CARRIER -COMMERCIAL SVC
Plumbing: AGGIE'PLUMBING' & SERVICES
License #: B-159
Phone: 303-442-8687
Supervisor cert #: 548-B
License Number
Work Description: TENANT FINISH - REMODELING APPROX. 1,500 SQ FT OF EXISTING 8,-358-SQ,FT;AREA
FOR ASSOCIATES IN FAMILY MEDICINE/POUDRE VALLEY HOSPITAL IN SPACE #101. OWNER
AUTHORIZATION ON FILE'
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
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 10/13/09 $2,016.01 Payment method: Check 1028
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's 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: IR16 4i4EL A 4*j4ti4-Date: A
Form Revised Oct 2008
City of
Neighborhood & Building Services
F6rt Collins
281 N. College Ave. Fort Collins, CO 80522-0,580
Phone:97o-221-676o Fax:970-224-6134
BUILDING PERMIT #:
B0905875
Issued Full:
10/13/2009
Permit Type: Com, Ind or Mixed Use Alteration
Site Address: 3702 AUTOMATION WAY, 101
Job Valuation: $70,000.00 Category:
Prof Office &
Pers Svcs
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Check CK# 1028 10/13/2009
$1,793.05
RINCON CK#1028
Check CK # 1026 09/22/2009
$222.96
RINCON CK#1026
Receipt issued: 10/13/2009 Total Paid to Date:
$2,016.01
Fee Description Account Code
Fee Amount
Amount Paid Date Paid
Amount Due
Building Permit Fee w/Subs 1000.422010
$463.05
$463.05 10/13/2009
$0.00
City Sales/Use Tax 251.122030
$1,050.00
$1,050.00 10/13/2009
$0.00
County Sales/Use Tax 100.217030
$280.00
$280.00 10/13/2009
$0.00
Plan Check Fee 1000.444010
$222.96
$222.96 09/22/2009
$0.00
TOTAL FEES:
$2,016.01
$2,016.01
$0.00
�i
TOTAL BALANCE DUE AS OF10/13/2009:
$0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.