HomeMy WebLinkAbout1213 Riverside Ave - Permits/Addition or Alteration - 10/30/2007i/t� t� Yf l`/tr�llllc
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80521
Phone:970-221-6760 Fax:970-224-6134
BUILDING PERMIT: B0702782 issued Full 10/30/2007
Job site address: 1213 RIVERSIDE AVE
Building Valuation: $292,000.00
Category: Medical/Dental Clinics Permit type: Coco, Ind or Mixed Use Addition
Owner: BIO-MEDICAL APPLICATION
1213 RIVERSIDE AVE
FORT COLLINS, CO 80524-3218 Phone: 970-493-7575
Zoning: Front setback: 0 to existing Rear setback: 6.33 Right setback: 14.42 Left setback: 99.5
Zoning district: E Plat File #: 356 ZBA Case #: Minor Amend #: MA06060
Legal: Subdivision/PUD:
Filing M 1ST
Lot M Block #:
Code: Res sq ft:
0 Com sq ft: 2070
Ind sq ft:
Basement sq ft:
# of stories:
1 Occ Group: 11.1
Const Type: II -A
Stock plan M
Stock plan options:
Contractor:
License #:
Supervisor cert#: 1380-B
Y
Phone:
Subcontractor(s)
Phone
License Number
Electrical:
CHOICE CITY ELECTRIC, INC.
970-493-4077
ME-126
Mechanical:
JB MECHANICAL, LLC
970-219-9288
H-1983
1
Plumbing:
COLORADO PLUMBING, INC.
970484-9922
MP413
-,
Roofing:
ROOF CHECK, INC
303 678 7828
R-1377
Concrete:
ABC CONCRETE CO, INC
970-493-4554
CC-11
K
1'
irk Description: 2070 SQ FT ADD TO EXISTING OUTPATIENT DIALYSIS CLINIC(4 PATIENT STATIONS,
LOCATE ISOLATION RM, ADD STORAGE/MECH SPACE, OTHER SUPPORT AREAS & SOME RENOVATION OF
ISTING SPACE. Original value of $650,000.
:tor changed valuation & scope of work to Phase 1 renovation (add 4 patient stations & relocate isolation rm.
1 Value is $292,000 per Ed Johnson 414-412-3800. mlh
------ ---- I o scnedule 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 10/30107 $8,134.08 Payment method: Check 12701
Asa condition for the issuance of a permit, I hereby declare that I am the owners owner's agent, authorized to perform the proposed work on the properly described herein.
I agree to comply with all the requi ernerds oWkwied herein, and City ord rmoas, and State laws associated with such work I understand that such permit may be
revoked in the event that issuance was based on incorrect infomrebon. This perrnd shall became rwA and void if the work auBaraed by such permit is rat cornmerhoed,
suspended, abandoned or rat inspected within 180 days from the date of such pemit.
Signatu Print Name:pj�L^2� f, /�{, F�Jt-ijf,%pate: <17�3p/Z�7
Fee Items Continued on Next P —�
FTCO_BLDG_0500449
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80521
Phone:970-221-6760 Fax:970-224-6134
BUILDING PERMIT: B0702782
Job site address: 1213 RIVERSIDE AVE
Building Valuation: $292,000.00
Category: Medical/Dental Clinics
Transactions:
Method Check Number Date Paid
Check CK# 12701 10/30/2007
Check CK # 10651 05/07/2007
Receipt issued: 10/30/2007 Total Paid to Date:
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:
Issued Full 10/30/2007
Permit type: Corn, Ind or Mixed Use Addition
Amount Paid Comments
$6,958.88
$1,175.20 CHRISTOPHER KIDD & ASSOC CK# 10651
$8.134.08
Fee Amount
Amount Paid
$1,232.55
$1,232.55
$4,380.00
$4,380.00
$1,168.00
$1,168.00
$1,175.21
$1,175.21
$39.73
$39.73
$138.59
$138.59
$8,134.08 $8,134.08
TO'
ntCon�ly. Fees subjecttochange without no
lJ Zy (13J e rl VG7'll %14
Date Paid
Amount Due
10/30/2007
$0.00
10/30/2007
$0.00
10/30/2007
$0.00
10/30/2007
$0.00
10/30/2007
$0.00
10/30/2007
$0.00
$0.00
AN