The URL can be used to link to this page

Home My WebLink About508 W Trilby Rd - Permits/Addition or Alteration - 07/23/2007l t h of I ort (cyllin4 Neighborhood & Building Services 281 N. College Ave. Fort Collins, CO 80521 Phone:970-221-6760 Fax:970-224-6134 BUILDING PERMIT: B0702362 Job site address: 508 W TRILBY RD Building Valuation: $820,000.00 Category: Nursing/Retirement Home Issued Full 07/23/2007 Permit type: Com, Ind or Mixed Use Addition Owner: EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY ATTN LENNY KIMNITZ, 4800 W 57TH STREET SIOUX FALLS, SD 57108 Phone: 605-362-3100 Zoning: Front setback: Rear setback: Right setback: Left setback: Zoning district: MMN Plat File M ZBA Case #: Minor Amend #: MA0700016 Legal: Subdivision/PUD: ST Filing #: FIR NG Lot #: B Block #: Code: Res sq ft: 0 Com sq ft: 4000 Ind sq ft: Basement sq ft: # of stories: 1 Occ Group: 11.1 Const Type: V-A Stock plan M Stock plan options: Contractor: DOHN CONSTRUCTION 2642 MIDPOINT DR UNIT A FORT COLLINS, CO 80525 Subcontractoris Electrical: Mechanical: Plumbing: Roofing: Concrete: License M B-198 Supervisor cert#: 677-B Phone:970-490-1855 Phone CHOICE CITY ELECTRIC, INC. 970-493-4077 AIR COMFORT, INC. 970-490-1458 LIND'S PLUMBING & HTG 970-221-1735 GOLD ROOFING, INC 970-593-3080 PIERSONS CONCRETE CONST 970-221-1509 License Number ME-126 H-1321 MP-221 R-1357 CC-07 Description: 4000 SF ADDITION TO THE SKILLED NURSING CARE FACILITY - 6 BEDS, COFFE BAR, 9 ROOM AREA FOR LONG TERM NURSING CARE ********"*To schedule inspections call 970-221-6769•********** Required inspections: SBF FD UGP SWR WTR FR RE EG RP RM GL IN FNB FNE FNP FNM UGE HD AW HC FP TOTAL FEES PAID AS OF 07/23/07 $21,271.30 Payment method: Check 62818 As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's agent, au8ror¢ed to perform the proposed work on the property described lrerevr. I agree to aompty with an the requirements contained herein, and City ordinances, and Slate laws associated with such work. I understand that such permit may be revoked in theInu oe was based on incorrect information. This permit shall beoorne null and void if the work authored by such permit is not oommeroed, spected within 180 days from the date of such pemtit. p� SignaturePrint Name: { j� (� Date: Z3 0 Fee Items CoPage FTCO_BLDG Neighborhood & Building Services 281 N. College Ave. Fort Collins, CO 80521 Phone:970-221-6760 Fax:970-224-6134 BUILDING PERMIT: B0702362 Job site address: 508 W TRILBY RD Building Valuation: $820,000.00 Category: Nursing/Retirement Home Transactions: Issued Full 07/23/2007 Permit type: Com, Ind or Mixed Use Addition Method Check Number Date Paid Amount Paid Check CK# 62818 07/20/2007 $19,819.84 Check CK# 1329 04/18/2007 $1,451.46 Receipt issued: 07/23/2007 Total Paid to Date: $21,271.30 Description Building Permit Fee w/Subs City Sales/Use Tax County Sales/Use Tax Plan Check Fee Stormwater Dev. Review Stormwater PIF Account Code 101.322101 408.122022 101.231719 101-341113 504.388115 504.388105 TOTAL FEES: Comments PAID BY DOHN CONSTRUCTION CK #62818 Fee Amount Amount Paid $3,014.55 $3,014.55 $12,300.00 $12,300.00 $3,280.00 $3,280.00 $1,451.46 $1,451.46 $311.16 $311.16 $914.13 $914.13 $21,271.30 $21,271.30 int only. Fees subjecttochange without no Date Paid Amount Due 07/20/2007 $0.00 07/20/2007 $0.00 07/20/2007 $0.00 04/18/2007 $0.00 07/20/2007 $0.00 07/20/2007 $0.00