HomeMy WebLinkAbout925 W Lake St - Permits/New Commercial - 03/27/2012�.��`ort Collins
Site Address: 925 W LAKE ST
Job Valuation: $1,965,337.00 Category: Church
Owner: ISLAMIC CENTER OF FORT COLLINS INC
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -,fax
Building Permit #: B1111384
Issued Full: 03/27/2012
Permit Type: New Com, Ind or Mixed -Use Building
900 PETERSON ST
FORT COLLINS, CO 80524 Phone: 970-215-5116
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: HMN - HIGH DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: HIDAYAH VILLAGE Filing #: Lot #: Block #:
Code: Res sq ft: 0 Com sq ft: 11600
# of stories: 2 Occ Group: A3
Fire Sprklr: Yes Stock plan M _
Contractor: BRINKMAN CONST., INC.
3003 E HARMONY STE 300
FORT COLLINS, CO 80528
Subcontractor(s)
Ind sq ft: Basement sq ft:
Const Type: V-B
Stock plan options:
License #: B-361
Phone: 970-267-0954
Supervisor cert#: 2441-B
License Number
Electrical: FISKE ELECTRIC ((733678
9569 ME-49
Mechanical: AIR COMFORT; INC�� 1458 �H=13577-)
Plumbing: NEUWORKS MECHANICAL, INC. 3130� MP!7
Roofing: ROOF CHECK, INC ` 7828 R-13Concrete: PIERSONS CONCRETE CONST 1509 CC
Job Contact: '- -� PAUL BRINKMAN U
Work Description: NEW2-STORY 11,600 SF PLACE OF -WORSHIP "HIDAYAH VI ALL GE WITH—6,900 SF UNFINISHED
BASEMENT. STEEL AND CONCRETE CONSTRUCTION WITH STUCCO AND CMU EXTERIOR.
REQUIRES INSTALLATION OF REDUCED -PRESSURE ASSEMBLY (RPA)BACKFLOW PREVENTOR ON MAIN DOMESTIC WATER
LINE AS IT ENTERS THE BUILDING; ALSO-BACKFLOW REQUIRED ON FIRE & IRRIGATION; CERTIFIED TESTER MUST TEST
DEVICES AFTER INSTALLATION -->Norm Mill 970-416-2249 nmill@fcgov.com
JOBSITE CONTACT: ANDY LOONEY
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amca/
Inspections: FP SLC SBF FD UGP SWR WTR FR RE EG RP RM GL IN FNB FNE FNP FNM UGE HD
AW HC
TOTAL FEES PAID AS OF 03/27112: $107,868.52 Payment method: Check 181
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 riot commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit
Signature: Print Name: !100 A)£ y Date: 62 2D( 7--
Form Revised Oct 2010
arof
t Collins
Site Address: 925 W LAKE ST
Job Valuation: $1,965,337.00 Category: Church
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1111384
Issued Full: 03/27/2012
Permit Type: New Com, Ind or Mixed -Use Building
Check CK# 1023 12/23/2011 $3,313.70 PAID BY ISLAMIC CENTER OF FORT COLLINS / NEW
MASJID FUND CK#1023
Check CK# 181 03/20/2012 $104,554.81 PAID BY NEW MASJID FUND / ISLAMIC CENTER OF
FORT COLLINS CK#181
Cash 12/23/2011 $0.01 PAID BY CASH FROM TODD PARKER.
Receipt issued: 03/27/2012 Total Paid to Date: $107,868.52
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee w/Subs 1000.422010 $6,882.30 $6,882.30 03/20/2012 $0.00
City Sales/Use Tax 251.122030 $37,832.76 $37,832.76 03/20/2012 $0.00
County Sales/Use Tax 100.217030 $7,861.35 $7,861.35 03/20/2012 $0.00
Fire Capital Exp. (Com) 103922.442020 $2,517.20 $2,517.20 03/20/2012 $0.00
General Govt. Capt. Exp. 510810.441080.0 \$2,818.80 $2,818.80 03/20/2012 $0.00
(Com) v1 .> �` : i
Larimer County ReRoad 291.211330 $2,795.60 $2,795.60 03/20/2012 $0.00
Plan Check Fee 1000.444010 7 $3,313.71 /$3:3`13:7,1 12/23/2011 .00
Police Capital Exp. (Com) 602900.442010 $1,751.60 / $1,751 60 03/20/2012 CA000:00
.00
Sewer Dev. Review �5030.473130) �$333.00 C $333.00 1 03'/2'0/20'12
I \ / / /// 1 I
Stormwater Dev. Review 5C40.473130 $1,310 94� $1,310:94 03/20/2012 �$0.00
Stormwater PIF; i 5040:473510 $9,2L12.26 $9212:26 03/20/2012 $0.00
Street Oversizing: Com \,2910.445010 $30,740.00_____ _$30;740:00 03/20/2012 $0.00
Water Dev. Review \. 5020.473130 $333:00 $333:00 03/20/2012 $0.00
Water Meter 5020.473370 $166.00 $166.00 03/20/20,12 $0.00
TOTAL FEES:' $107,868.52 $107,868.52 $0.00
TOTAL BALANCE DUE AS OF 03/27/2012: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010