HomeMy WebLinkAbout909 CENTRE AVE - PERMITS - 9/20/2004Community Planning &Environmental Services BUILDING
� 1� D 1 N G PERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins Phone (970) 221-6760 Fax (970) 224-6134 B 0 4 0 3 11
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 909 CENTREAVE
PERMIT DATE
09 20 20C4
Plan Check Fee
Building Permit FIF
City Sales/Use Tax FIF
$16,391.05
$4,202.55
$17,572.86
5/19/04
7/19/04
7/19/04
PERMIT
TYPE
NCIMB NewCom/Ind/Mixed Bldg
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Nursi Retirement Home
Last Name, First, Middle Initial
COLUMBINE MANAGEMENT SERVICE
Construction Type
Occupancy Group
_
Z
3
County Sales/Use Tax FIF
$4,686.10
7/19/04
Address
47 WORTHINGTONCR
City/State
I FORT COLLINS, CO
p No. of Stories
o 3
Building Height
40
0
Building Permit w/ Subs
City Sales/Use Tax
County Sales/Use Tax
$31,192.43
131,527.14
$36,673.90
9/20/04
9/20/04
9/20/04
Zip Phone
80526
No.
482-5096
Building Square Footage Stock Plan/Options
irAlin
0
Front Setback Rear
95
Setback
59.5
!
•
Z
Z
Right Side Setback Left Side Setback
23.3 18.92
• •
• •
(See reverse side for Inspection Description)
2
Plat File No. ZBA Case Number Zoning District
1123 NC
Subdivision/PUD Filing
S B F R P R M
General Govt. Capt. Exp.
$22,388.43
9/20/04
J
CENTRE FOR ADVANCED TECH 17
OE IN FNB
Police Capital Exp.
$13,874.52
9/20/04
Lot Block Lot Area Parcel No.
TR. D 175240 9723318003
Name Contractor License No.
J
F N E F N P F N M
1) D E F D H DD
Fire Capital Exp.
$20,016.01
9/20/04
OCompany
G
SPI UCP SWR
Street Oversizing: Res.
$89,206.00
9/20/04
Q
Address City/State
4700 INNOVATION OR, #C
FORT COLLINS, CO 80525WTR
FR AN
Larimer County Reg. Road
$10,622.0
9/20/04
Z
HAN RE EC
Phone SupervisorCert. No.
970 204 0100
Electrical License No.
Construction Water
$278.34
9/20/04
ORY ELECTRIC ME 404
Water PIF
103,100.00
9/20/04
Mechanical
PLUMBING I HEATING
License No.
�
0
Water Right
$93,600.00
9/20/04
R,ohLEN
License No.
T
Water Meter
$68.74
9/20/04
Framing
ON
License No.
Z
Water Dev. Review
$2,020.00
9/20/04
PluibHgIOM
License No.
m
N
AIIIN PLUMBING I HEATING
MP 4
Sewer PIF
$39,600,0
9/20/04
Concrete
License No.
Sewer Dev. Review
$2,020.00
9/20/04
NEW 118 BED, 94 UNIT ASSISTED LIVING FACILITY (105.110 SQFT). LAND USE CODE CLASSIFIES THIS USE
Water 6% PILOT Fees
$16.7
9/20/04
AS MULTI -FAMILY DWELLING.
REQUIRES BACKFLOW PREVENTERS ON FIRE, DOMESTIC & IRRIGATION WATER LINES-JOHN NELSON 221-
Stormwater Dev. Review
$3,151. 9
9/20/04
LU
6677
Stormwater: Spring Creek
$1,856.0
9/20/04
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. 1 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 ermit shall become null and void if the work authorized by such permit is not
commenced,
suspended, abandoned or inspected within 180 days from t to of such permit or from the date of the last inspection.
SA 9 /zol,44
name of owner/agent Signa ure Date
TOTAL FEES
$650,124,81
Print