HomeMy WebLinkAbout120 W Olive St - Permits/Tenant Finish - 10/03/2011scity of
Fort Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1106025
Issued Full: 10/03/2011
Permit Type: Com, Ind or Mixed Use Alteration
Site Address: 120 W OLIVE ST
Job Valuation: $175,000.00 Category: Restaurant/Cafe
Owner: RAND, ROBERT A/ALEXANDRA R
2035 ARROYO CT
WINDSOR, CO 80550 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: D - DOWNTOWN 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: A2 Const Type: III-B
Fire Sprklr: No Stock plan #: Stock plan options:
Contractor: BAIRD BUILDERS INC License #: C1-82 Supervisor cert#:
PO BOX 2018
FORT COLLINS, CO 80522 Phone: 970-224-2351
Subcontractor(s), Phone License Number
i
Work Description: TENANT FINISH FOR A NEW RESTAURANT. REQUIRES INSTALLATION OF REDUCED PRESSURE
ASSEMBLY (RPA)BACKFLOW,PREVENTOR ON MAIN -DOMESTIC -WATER LINE AS IT ENTERS THE BUILDING; CERTIFIED
TESTER MUST TEST DEVICE AFTER INSTALLATION-->Norm-Mill 970-416-2249 nmill@fcgov.com
11 ** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: httD://amos.fcaov.com/CitizenAccess ** 11
Inspections: FP UGP IN HC SBF FD SWR WTR FIR RE EG RP RM GL FNB FNE FNP FNM UGE HD AW
TOTAL FEES PAID AS OF 10/03/11: $5,309.76 Payment method: Cash 13805
*' Fee Detail Dislabyed 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 became 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.
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Signature Print Name: jLa Date: U
Form Revised Oct 2010
,�rt�Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1106025
Issued Full: 10/03/2011
Permit Type: Com, Ind or Mixed Use Alteration
Site Address: 120 W OLIVE ST
Job Valuation: $175,000.00 Category: Restaurant/Cafe
Transactions
Method Check Number Date Paid
Cash CK# 13805 10/03/2011
Amount Paid
$4,906.43
Comments
BAIRD BUILDERS CK#13805
Check CK# 13779 08/31/2011
$403.33
BAIRD BUILDERS
Receipt issued: 10/03/2011 Total Paid to Date:
$5,309.76
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs 1000.422010
$837.68
$837.68
10/03/2011
$0.00
City Sales/Use Tax 251.122030
$3,368.75
$3,368.75
10/03/2011
$0.00
County Sales/Use Tax 100.217030
$700.00
$700.00
10/03/2011
$0.00
Plan Check Fee 1000.444010
$403.33
$403.33
08/31/2011
$0.00
TOTAL FEES:
$5,309.76 $5,309.76
$0.00
TOTAL BALANCE DUE AS OF.16/03/2011: 0.00
,
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct2010