HomeMy WebLinkAbout4609 S Timberline Rd - Permits/Tenant Finish - 12/23/2016City of
F6rt
,Collins
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1606460
Issued Full: 12/23/2016
Permit Type: Com, Ind or Mixed Use Alteration
Site Address: 4609 S TIMBERLINE RD, 103B
Job Valuation: $200,550.00 Category: Medical ^ `�
Owner: Van Tassell, Keith
4609 S. Timberline Rd
FORT COLLINS, CO 80528
Zoning: Frontsetback: Rear setback:
Minor Amend #: Plat File #:
Zoning district: HC - HARMONY CORRIDOR DISTRICT
Legal: Subdivision/PUD:
Phone:
Right setback: Left setback:
ZBA Case #:
Filing #: Lot #: 1 B Block #:
Code: Res sq ft: 0 Com sq ft: Ind sq ft:
# of stories: Occ Group:, B Const Type: V-B
Fire Sprklr: No Stock plan #: Stock plan options:
Basement sq ft:
Contractor: BVB GENERAL CONTRACTORS License #: C1-256 Supervisor cert#: 3651-Cl
1289 South 4th Ave Unit 100 ,
Brighton, CO 80601 Phone: 303-637-0981
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0 ``---`-='_`— ' "Phone License Number
970=352-5731 [j ME-344
970-313-62`81M=2P3-7869C052-642 303-6371980�
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Electrical:
TRI-CITY ELECTRIC II r
Mechanical:
ACADEMY HEATING & COOLIN
Plumbing:
STRAIT PLUMBING, INC.
Job Contact:
F—JAMES �VIGESAA 1 1
u
Work Description: Tenant finish for Pediatric Dentist of
of new dental office to include new mechanical, electrical
s to expand office. Demo of existing demising wall con,
ing'for dental equipment. Building owner authorization on
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: hftp://www.fcgov.com/CitizenAccess II
***Bv Mobile Device: httD://www.fcgov.com/CitizenAccess/mobile
Inspections: FP UGP HC IN FD RM HD SBF FNB EG SWR WTR FIR RE RP GL FNE FNP FNM UGE AW
TOTAL FEES PAID AS OF 12/23116: $7,049.39 Payment method: Check 32688
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: //lam SJ4AvDate:
/a -aC - /6
Form Revised Oct 2010
F`o�r_'t Collins
Site Address: 4609 S TIMBERLINE RD, 103B
Job Valuation: $200,550.00 Category: Medical
Transactions
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1606460
Issued Full: 12/23/2016
Permit Type: Com, Ind or Mixed Use Alteration
Check C K # 32588 12/23/2016
$6,257.36
Check#32588 by BVB General Contractors, LLC
Check CK # 32128 10/28/2016
$792.03
BVB General Contractors,
LLC ck #32128
Receipt issued: 12/23/2016 Total Paid to Date:
$7,049.39
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid Amount Due
Building Permit Fee w/Subs 1000.422010
$1,644.98
$1,644.98
12/23/2016
$0.00
City Sales/Use Tax 251.122030
$3,860.59
$3,860.59
12/23/2016
$0.00
County Sales/Use Tax 100.217030
$651.79
$651.79
12/23/2016
$0.00
Permit Flat Fee - $100 1000.422010
$100.00
$100.00
12/23/2016
$0.00
Plan Check Fee 1000.444010
$792.03
$792.03
10/28/2016
$0.00
TOTAL FEES: $7,049.39
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c
$7,049.39
1
$0.00
0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010