HomeMy WebLinkAbout121 W Olive St - Permits/Addition or Alteration - 12/29/2011City of Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
Fort Collins 970.221.676o 970.224.6134-fax
Building Permit #: B1104822
Issued Full: 12/29/2011
Permit Type: Com, Ind or Mixed Use Alteration
Site Address: 121 W OLIVE ST
Job Valuation: $235,000.00 Category: Commercial Remodel
Owner: WARREN-BOHLENDER FUNERAL CHAPEL INC
121 W OLIVE ST
FORT COLLINS, CO 80524-2831 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: D - DOWNTOWN DISTRICT
Legal: Subdivision/PUD: OLD TOWN
Code: Res sq ft: 0 Com sq ft:
# of stories: Occ Group: A3
Fire Sprklr: No Stock plan #:
Contractor: DELEHOY CONSTRUCTION
3109 S. TAFT HILL RD
FORT COLLINS, CO 80526
Filing M Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type: V-B
Stock plan options:
License #: B-125 Supervisor cert#: 256-B
Phone: 970-226-0836
u contracto r(s) 1 �Phone (� r License Number
Electrical: DELANEY'S_ELECTRIC� r._� L , 970-834-1715. --._- [J 7 _ ME-828
Roofing: L_RESTORATION'ROOFING/'- r� 303-772-4131, 914 �
I
__j 1_i J \ _—
Work Descriotion: FACE-LIFT TO EXTERIOR BUILDING -ELEVATIONS -AND MINOR REMODELING FOR BOHL'ENDE
FUNERAL CHAPEL. REQUIRES INSTALLATION OF -REDUCED PRESSURE ASSEMBLY (RPA)BACKFLOW PREVENTOR
MAIN DOMESTIC WATER LINE AS -IT -ENTERS -THE BUILDING; CERTIFIED TESTER MUST TEST DEVICE AFTER
INSTALLATION -->Norm Mill 970-416-2249 nmillafcgov.com
JOB CONTACT: MIKE ROBERTS - 970-566-2501.
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://amos.fcgov.com/CitizenAccess II
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
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 12/29/11: S7.004.76 Payment method: Check 5889
"* 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: �&O-Date:
Form Revised Oct 2010
Foof
rte, Tyt�Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1104822
Issued Full: 12/29/2011
Permit Type: Com, Ind or Mixed Use Alteration
Site Address: 121 W OLIVE ST
Job Valuation: $235,000.00 Category: Commercial Remodel
Transactions
Check CK # 5889 12/29/2011
Check CK # 5389 08/12/2011
Receipt issued: 12/29/2011 Total Paid to Date:
Fee Description Account Code
Building Permit Fee w/Subs 1000.422010
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Plan Check Fee 1000.444010
Amount Paid
$6,503.93
Comments
PAID BY DELEHOY CH#5889
$500.83
CHECK #5389 FROM MARK DELEHOY.
$7,004.76
Fee Amount
Amount Paid
Date Paid
$1,040.18
$1,040.18
12/29/2011
$4,523.75
$4,523.75
12/29/2011
$940.00
$940.00
12/29/2011
$500.83
$500.83
08/12/2011
TOTAL FEES: $7,004.76 $7,004.76
Amount Due
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS OF 12129/2011: $0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010