HomeMy WebLinkAbout4144 S TIMBERLINE RD - PERMITS - 6/28/2005Community Planning &Environmental Services BUILDING PERMIT'PERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
$4837749.00
CityofFort Collins phone (970) 221-6760 Fax (970) 224-6134 B0502137
-
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 4144 S TIMBERLINE RD
PERMIT DATE �-,,., " G,�) a �`
/
I Ch
Pan Check Fee
Building Permit w/ Subs
y Sa I es; Use T a X
R 05
*9��.4
31,8$0.5
1 , 5 6 . 2
/ 1 / 5
5, C1C.,
6/28/05
6 / 2 $ / D J
PERMIT
TYPE
ClMALAD Con;llnd/MixedAlt/Addition
PERMIT LEVEL
lSSU_REV
CATEGORY T P
edical/Dental Clinics
Last Name First, Middle Initial T
HAFTFORD CONSTRUCT RUCT CORD
Construction Type
Occupancy Group
B
LU
County Sales/Use Tax
$1, 935.6
6/28/05
Address
CHARLIE ATWOOD
City/State
1218 WASH SUITE A
p No. of Stories
O 1
V
Building Height
0
O
Zip 80550
Phone No. 970-674-1 108
Building Square Footage 0 Stock Plan/Options
Front Setback Rear Setback
Z
Right Side Setback Left Side Setback
0
Z 1
2
Plat File No. ZBA Case Number Zoning District LMN
(See reverse side for Inspection Description)
S B F R R
CL UPC F(D
Q
Subdivision/PUD
SUNSTONE MIXED USE
Filing
W
J
HD0 SPI uCP
Lot L
Block
Lot Area Q
ParcelNo. C132262006
S W R T R R E
EC
Od
O
Comp an Name
4,r�TFORD CONSTRUCT nnnn
Contractor License No.
B {5u
City'/,+State
Address Lr pp
121V q ASH SU2iF Fi
iiNDSVR, Co BUJSV
OPh,?-,,
u 674 11,09
Supervisor Cert. No.
CLdNi ELECTRICAL CON
ce Mechanical
QH DC SHORT III IDC.F. DBA KU,LEY
URoofing
H
Z Framing
o HCRNER CONS1RUCT10N INC
SO Plumbing; r� (}
N CVRPVRAIE PLUMB1 NG
Concrete
TENANT FINISH FOR DENTAL OFFICE
TIM SOLLAZZO
8
License No.
ME 246
License No.
!6J4
License No.
F 97
License No.
MP 294
License No.
('IJ
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 s h work. I understand that such permit may be revoked in the
event that issuance was based on incorrect or incomplete information. This p it shall bec a null and void if the work authorized by such permit is not
commenced, suspend e ndoned or inspected within 180 days from t date of such mit or f the date of the last inspection.
2� s _ �6-
Print name f owner/agent Signature Date TOTAL FEES $11,977.2