HomeMy WebLinkAbout702 W Drake Rd - Permits/Mechanical - 06/26/2018 (4)City of
F�6rt Collins
fSite Address: 702 W DRAKE RD, A
Job Valuation: $12,382.62 Category:
Owner: Banner Health
3500 JKF PKWY 310
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1804885
Issued Full: 06/26/2018
Permit Type: Commercial Mechanical
Medical/Dental Clinics
Phone: 970-229-4600
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: _
# of stories: Occ Group: _
Fire Sprklr: Stock plan #:
Contractor: CMS MECHANICAL SERVICES INC
609 TECHNOLOGY CIR #A
WINDSOR, CO 80550
Subcontractor(s)
Mechanical: CMS MECHANICAL SERVICES IN
Job Contact: NICHOLAS D LUCA
Work Description: Replacing 3 of 6 roof top units.
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-1349 Supervisor cert#:
Phone: 970-686-6800
Phone License Number
970-686-6800 H-1349
970-686-6800
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Reauired: 204 302 300 301
TOTAL FEES PAID AS OF 06/26/18: $179.00 Payment method: Check 26468
" 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.
r � /
Signature: Print Name: � & /�iYA�S'Date: 6:-:; e2� /yam
Form Revised Oct 2010
City of
FF,6,0&rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit#: B1804885
Issued Full: 06/26/2018
Permit Type: Commercial Mechanical
Site Address: 702 W DRAKE RD, A
Job Valuation: $12,382.62 Category: Medical/Dental Clinics
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK#26468 06/26/2018 $179.00
Receipt issued: 06/26/2018 Total Paid to Date: $179.00
Fee Description Account Code Fee Amount Amount Paid Date Paid
Building Permit Fee Without 1000.422010 $179.00 $179.00 06/26/2018
Subs
TOTAL FEES: $179.00 $179.00
TOTAL BALANCE DUE AS OF 06/26/2018
Amount Due
$0.00
$0.00
0. 00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.