HomeMy WebLinkAbout4700 BOARDWALK DR - PERMITS - 4/19/2012City of
F6rt Collins
Site Address: 4700 BOARDWALK DR
Job Valuation: $1,500,000.00 Category: Supermarket
Owner: BENENSON BOARDWALK FT COLLINS CO LLC
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1111192
Issued Full: 04/19/2012
Permit Type: Com, Ind or Mixed Use Alteration
PO BOX 8050
BENTONVILLE, AR 72712-8050 Phone: 479-204-0409
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: HC - HARMONY CORRIDOR DISTRICT
Legal: Subdivision/PUD:
Filing #:
Lot #: Block #:
Code: Res sq ft:
0 Com sq ft:
Ind sq ft:
Basement sq ft:
# of stories:
Occ Group: M
Const Type: V-B
Fire Sprklr:
Yes Stock plan #:
Stock plan options:
Contractor:
License #:
Supervisor cert#: 147-A
Phone:
Subcontractor,(s)
Phone
r __ License Number
Electrical: 1 "-
LG ELECTRIC.,
�' 307 632-5557
Roofing: ° -..SUPERIOR
ROOFING, INC '—°
303-375-0300
I �R-1�802
Refrigeration: j-
SOURCE REFRIGERATION
- 714-578-2341
, RE-i6ti7 _-
Work Description: EXISTING SAM'S CLUB BUILDING REMODEL,OF A PORTION OF THE GENERAL MERCHANDISE -AREA
AND COMPLETE REMODEL OF OFFICES (MEZZANINE), PHARMACY, OPITICAL, CAFE AREA AND ENTRY. 2 NEW RTU SWILL
BE INSTALLED. MODIFICATIONS TO"REC.EIVING_DOORS AND NEW COMPACTOR DOCK. SEE SEPARATE DEMOLITION
PERMIT. 1,400 SF OF BUILDING WILL BE REMODELED. OWNER AUTHORIZATION ON FILE
SCHEDULE INSPECTIONS:
*** By Phone:
970-221-6769
*** By Web: http://amos.fcgov.com/CitizenAccess
***By
Mobile Device:
http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FP UGP IN HC
SBF FD SWR
WTR FIR RE
EG RP RM GL FNB FNE FNP FNM UGE HD AW 11
TOTAL FEES PAID AS OF 04/19/12: $42,741.01 Payment method: Check 108098
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's 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 assodated 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.
Signature: �j�_ Print Name: Date: y�jq�j L
Form Revised Oct 2010
F6rtCity of
Collins
Site Address: 4700 BOARDWALK DR
Job Valuation: $1,500,000.00 Category: Supermarket
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1111192
Issued Full: 04/19/2012
Permit Type: Com, Ind or Mixed Use Alteration
Method Check Number Date Paid
Amount Paid
Comments
Check C K # 108098 04/18/2012
$40,184.56
PAID BY HEATH CON.
CH#108099
Check CK# 4809 12/16/2011
$2,556.45
PAID BY RAYMOND H
HARRIS CH#4809
Receipt issued: 04/19/2012 Total Paid to Date:
$42,741.01
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs 1000.422010
$5,309.55
$5,309.55
04/18/2012
$0.00
City Sales/Use Tax 251.122030
$28,875.00
$28,875.00
04/18/2012
$0.00
County Sales/Use Tax 100.217030
$6,000.00
$6,000.00
04/18/2012
$0.00
Plan Check Fee 1000.444010
$2,556.46
$2,556.46
04/18/2012
$0.00
TOTAL FEES:
$42,741.01
$42,741.01
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.