HomeMy WebLinkAbout4144 S TIMBERLINE RD - PERMITS - 5/3/2005Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
city of Fort cousins phone (970) 221-6760 Fax (970) 224-6134
3 SITE ADDRESS
TYPE
Last Name, First, K
LU
Z Addr s
3
O zip 1218 WE
Front et ac
Z Right Side Setback
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Plat File No.
_ Subdivision/PUD
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w Lot
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oC Comoanv Name
0
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BUILDING PERMIT.
Building Valuation
gl0500411 E ACCOUNT FEE . DATI
PERMIT LEVEL I CATEGORY
— CdWstructbn Type Occupancy Grc
City/State O No. of Stories Building Height
` U
Phone No. Building Square Footage Stock Plan/Options
Rear Setback
Number I Zoning District - I (See reverse side for Inspection Description)
Filing
SBF RP RM
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Area
Parcel No.
FNE FNP FNM
Contractor License No.
U C E F D H 0O
S P I U C P S W R
City/State iso
r n ^ 9055,
WTR FR AW
ert. No. '
HAN RE EC
License No.
License No.
License No.
License No.
License No.
License No.
NEW 8,000 SQ FT CORE & SHELL MEDICAL OFFICE BUILDING
REQUIRES BACKFLOW PREVENTION ON FIRE & DOMESTIC WATER SERVICE LINES-JOHN NELSON 221-6677
Plan Check Fee
_ $203.4
2/l/n5
Building Permit F8F
$418.5
1
2/24/05
City Sates/Use Tax F&F
$885.0
2/24/05
County Sales/Use Tax FIF
$236.0
2/24/05
Building Permit wl Subs
$1,576.8
2/24/05
Plan Check Fee
$`651.6
2/24/05
City Sales/Use Tax
$5,908.6
2,/24/05
County Sales/Use Tax
$i5I5.6
2/24/05
General Govt. Capt. Exp.
$0
$1,704.0
2/241105
Police Capital Exp.
0,056.0
2/24/05
Fire Capital Exp.
$1,528.0
2/24/05
Elec: PILOTS
$2.4
2/24/05
Elec: Comm. Revenue
$39.8
2/24/05
flee: Top. Pedestal
$118.0
2/24/05
Elec: City Energy Tax
$1.1
2/241105
flec: ST/CO Energy Tax
$1.5
2/24/05
Construction Water
$15.9
2/24/05
Water PE
$4,600.0
2/24/05
Water Right
$5,850.0
2/24/05
Water Meter
$96.3
2/24/05
Water 0ev. Review
$128.0
2/24/05
Sewer PIF
$2,500.0
2/24/05
Sewer Oev, Review
$128.0
2/24/05
Water 6%PILOT Fees
9
1)MA/05
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 Stormwater uev. Review 3 / $ 78.8 2/24,0�
event that issuance was based on incorrect or incomplete information. This per it shall beco null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the to of such p it o fro a date of the last inspection.
Print name of owner agent Signature Date TOTAL FEES !R79 AM .14,