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Home My WebLink About934 S Lemay Ave - Permits/Water and or Sewer - 02/17/2016Cityof Community Development & Neighborhood Services F �� I 281 N. College Ave Fort Collins, CO 80522 o Go ns 970.221.676o 970.224.6134 -fax Building Permit #: B1600772 Issued Full: 02/17/2016 Permit Type: Com, Ind or Mixed Use Minor Alteration Site Address: 934 S LEMAY AVE Job Valuation: 19 500.00 Category: Medical/Dental Clinics Owner: BINK M CO 9990 W 26TH AVE STE 300 LAKEWOOD, CO 80215 Phone: 970-498-8300 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: E - EMPLOYMENT 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: Const Type: Fire Sprklr: Stock plan #: Stock plan options: Contractor: NORTHERN COLORADO PLUMBING AND DRAIN License #: MP-579 Supervisor cert#: 737 S LEMAY AVE 134-142 FORT COLLINS, CO 80524 Phone: 970-221-0872 Subcontractor(s).. Phone License Number Plumbing: NORTHERN COLORADO PLUMBING 970-221-0872 MP-579 Job Contact: RODNEY. HENRICHSEN . 970-221-0872 Work Description: Complete sewer line replacement for Comfort Dental.per 2012 IPC. Permit for private property work only; separate excavation permit for R.O:W. I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess I ***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile Inspections: SBF FD UGP RE RP RM IN FNE FNP FNM FP UGE FR FNB EG GL TOTAL FEES PAID AS OF 02117/16: $940.24 Payment method: Check 191 ** 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: �oti� C �T�a� Date: �+ 1-7 ((�o Form Revised Oct 2010 F —1 -1 6rt Collins Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1600772 Issued Full: 02/17/2016 Permit Type: Com, Ind or Mixed Use Minor Alteration Site Address: 934 S LEMAY AVE Job Valuation: $19,500.00 Category: Medical/Dental Clinics Transactions Method Check Number Date Paid Amount Paid Comments Check CK# 191 02/17/2016 $940.24 NORTHERN COLORADO PLUMBING & DRAIN SERVICE PAID WITH CHECK #191 Receipt issued: 02/17/2016 Total Paid to Date: $940.24 Fee Description Account Code Fee Amount Amount Paid Building Permit Fee w/Subs 1000.422010 $338.51 $338.51 City Sales/Use Tax 251.122030 $375.37 $375.37 County Sales/Use Tax 100.217030 $63.37 $63.37 i Plan Check Fee 1000.444010 $162.99 $162.99 TOTAL FEES: $940.24 $940.24 Date Paid Amount Due 02/17/2016 $0.00 02/17/2016 $0.00 02/17/2016 $0.00 02/17/2016 $0.00 $0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice.