HomeMy WebLinkAbout909 CENTRE AVE - PERMITS - 7/19/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 909 CENTRE AVE
PERMIT TYPE
NCIMB New Com/Ind/Mixed Bld
Last Name, First, Middle Initial
LU
Z
MtN 1 VIt
Address
0
Zip
�
80526
Front Setback
V
95
Z
Right Side Setback
Z
23.3
Plat File No. Z8A Case Number
1123
Subdivision/PUD
a
CENTRE FOR ADVANCED TEI
wLot
Block Lot Area
Address
Phone
City/State
Phone No. FC
4&
Rear Setback
Left Side Setback
-1117
175240
Contractor License
License No.
License No.
License No.
License No.
License No.
BUILDING PERMIT
Building Valuation
60403110 ACCOUNT
PERMIT DATE
07/19/2004 Plan Check Fee
PERMIT LEVEL CATEGORY TYPE
ISSU_F&F I Nursi /Retirement Home Building Permit FIF
Construction Type Occupancy Group
City Sales/Use Tax F&F
i''in No. of Stories Building Height
i 00 0 3 40 County Sales/Use Tax F&F
Building Square Footage Stock Plan/Options
59.5 Iml
,18.92
Zoning District NC (See reverse side for Inspection Description)
Filing SBF UCE FO
Parcel No. SPI UCP SIR
U9121RHI MTR
NEW 118 BED, 94 UNIT ASSISTED LIVING FACILITY (105,110 SQFT). LAND USE CODE CLASSIFIES THIS USE
AS A MULTI -FAMILY DWELLING.
REQUIRES BACKFLOW PREVENTERS ON FIRE, DOMESTIC & IRRIGATION WATER LINES-JOHN NELSON 221-
LU 6677
DOUG MCCARTHY
As a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all 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 or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
SOX��-
Print name of owner/agent Sig an tuni Date e �e TOTAL FEES
FEE I DATE PAID I
$16,391.05 5/19/04
$4,202.55 7/19/04
$17,572.86 7/19/04
$4,686.10 7/19/04