HomeMy WebLinkAbout2107 S Timberline Rd - Permits/Footing and Foundation - 02/05/2016city ®f
Community Development & Neighborhood Services
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F6rt Collins
281 N. College Ave Fort Collins CO 80522
970.221.6760 970.22 61
4• 34 -.fax
Building Permit #: B1507963
Issued FF: 02/05/2016
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Permit Type: New Com, Ind or Mixed -Use Building
Site Address: 2107 S TIMBERLINE RD
j Job Valuation: $750,000.00 Category:
Medical
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Owner: CACHE BANK AND TRUST
is 4605 ZIEGLER RD
ti FORT COLLINS, CO 80528-3088
Phone:
a Zoning: Front setback: Rear setback:
Right setback: Left setback:
I
Minor Amend #: MA150095 Plat File #:
ZBA Case M
Zoning district: I - INDUSTRIAL DISTRICT
Legal: Subdivision/PUD:
Filing M
Lot #: 9 Block #:
!I Code: Res sq ft: 0 Com sq ft: 7665
Ind sq ft: Basement sq ft:
# of stories: 1 Occ Group: g
Const Type: V-B
Fire Sprkir: Yes Stock plan M
Stock plan options:
Contractor: TBA
License#: A-1A Supervisorcert#: 3623-Cl
100 A STREET
ra ANY TOWN, CO
Phone:
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Subcontractor(s)
Phone License Number
Electrical: TBA ELECTRICAL
TBA1
j 'Mechanical: TBA MECHANICAL
TBA5
Plumbing: AGGIE PLUMBING & SERVICE 1
970-226-9979 MP-515
Plumbing: TBA PLUMBING
TBA2
Framing: TBA FRAMING
TBA3
Roofing: TBA ROOFING
TBA4
Job Contact: ANNOUNCED TO BE
Work Description: Construction of new 7,665 sq ft core and shell building for future medical office. REQUIRES THE
INSTALLATION OF AN APPROVED LEAD-FREE REDUCED PRESSURE ASSEMBLY BACKFLOW PREVENTER ON THE MAIN
WATER SERVICE LINE IMMEDIATELY AFTER THE WATER LINE ENTERS THE BUILDING. CORRECT BACKFLOW DEVICES
ALSO REQUIRED ON FIRE LINE AND IRRIGATION SYSTEM. NORM MILL nmill@fcgov.com 970-416-2249
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
IInspections: FP SBF FD UGP SWR WTR RE RP RM GL IN FNE FNP FNM UGE HD FR FNB AW SLC
EG HC 11
TOTAL FEES PAID AS OF 02/10/16: $11,765.26 Payment method: Check 506478
'* 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��,r , , /r' l�r /G� t Print Name: j1� Dater -/ 0 -/: i
Form Revised Oct 2010
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City of _.
F6rt COAli
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I Site Address: 2107 S TIMBERLINE RD
4 Job Valuation: $750,000.00 Category:
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f` Transactions
Method Check Number Date Paid
(+ Check CK # 505478 02/10/2016
Check CK# 504917 11/05/2015
Receipt issued: 02/10/2016 Total Paid to Date:
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Fee Description Account Code
.; FF City Sales/Use Tax 251.122030
i FF County Sales/Use Tax 100.217030
FF Permit Fee 1000.422010
Plan Check Fee 1000.444010
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1507963
Issued FF: 02/06/2016
Permit Type: New Com, Ind or Mixed -Use Building
Medical
Amount Paid
$9,627.08
$2,138.18
$11,765.26
Fee Amount
$6, 256.25
$1, 056.25
$2,314.58
$2,138.18
Comments
Pay by Embree Asset Group Inc. check # 505478
Pay by Embree Asset Group Inc check #504917
Amount Paid
Date Paid
Amount Due
$6,256.25
02/10/2016
$0.00
$1,056.25
02/10/2016
$0.00
$2,314.58
02/10/2016
$0.00
$2,138.18
11 /05/2015
$0.00
$11,766.26 $11,766.26
TOTAL BALANCE DUE AS OF 02/10/2.016:
$0.00
L00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.