HomeMy WebLinkAbout4380 ZIEGLER RD - PERMITS - 10/23/2014 (2)/**"O.F,�o-rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1409407
Issued Full: 10/23/2014
Permit Type: Com, Ind or Mixed Use Alteration
Site Address: 4380 ZIEGLER RD
Job Valuation: $83,641.00 Category: Industrial Use -Heavy
Owner: AVAGO TECHNOLOGIES WIRELESS (USA)
4380 ZIEGLER RD MS A9
FORT COLLINS, CO 80525-9640 Phone: 970-288-0344
25' to sound
Zoning: Front setback: Rear setback: _wall Right setback: Left setback:
Minor Amend #: Plat File M ZBA Case #:
Zoning district: HC - HARMONY CORRIDOR DISTRICT
Legal: Subdivision/PUD: Filing#: Lot#: 2 Block#:
Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: HEATH, R C CONSTRUCTION License M A-1 Supervisor cert#: 147-A
P.O. DRAWER H, 141 RACQUETTE DR
FORT COLLINS,•.CO 80522 Phone: 970-221-4195 _
Subcontractorf Photie
c ` License Number
(sC�
Work Description: 11/26/2014,germit arrierided'to-in
concrete pad for the placement cf'an Argon_tarik-at Avag(
concrete pad for liquid oxygen tank. Build a 371sq
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess II
***By Mobile Device: htti)://amos.fcgov.com/CitizenAccess/amca/
Inspections: FP UGP HC IN FD RM HD SBF FNB EG SWR WTR FR RE RP GL FNE FNP FNM UGE AW
TOTAL FEES PAID AS OF 12130/14: $3.298.02 Payment method: Check 6200
* Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners 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 associated 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 ff the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Signature:,,& Print Name: ��a7/r Z- a.j:2!:CN/UDate: /2. _-So r /
Form Revised Oct 2010
city of
F6rt Collins
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit-#: B1409407
Issued Full: 10/23/2014
Permit Type: Com, Ind or Mixed Use Alteration
Site Address: 4380 ZIEGLER RD
Job Valuation: $83,641.00 Category: Industrial Use -Heavy
Transactions
Method Check Number Date Paid
Check CK# 17940 10/03/2014
Check CK# 6200 - 12/30/2014
Check CK#5593 10/23/2014
Receipt issued: 12/30/2014 Total Paid to Date:
Fee Description Account Code
Building Permit Fee w/Subs 1000.422010
Building Permit Fee w/Subs 1000.422010
City Sales/Use Tax 251.122030
City Sales/Use Tax 251.122030
County Sales/Use Tax 100:217030 -
County Sales/Use Tax 100.217036
Plan Check Fee ----7j1000.4440110
Plan Check Fee
1000.444010 '
FEES
(TOTAL
Amount Paid
Comments
$529.43
Paid $529.43 with check#17940 from Integrated Companies
Inc
$1,848.72
Paid by ck#6200 by Heath Construction LLC for $1848.72
$919.87
Paid by ck#5593 for $919.87 by Heath Construction LLC
$3,298.02
Fee Amount
$393.86
$576.12
$455.09
$1,155.00
$180.00
$70.92
TOTAL
Amount Paid
$393.86
$576.12
$455.09
$1,155.00
$180.00
$70.92
Date Paid
10/23/2014
12/30/2014
10/23/2014
12/30/2014
12/30/2014
10/23/2014
F
I
u L
12/301', 4:
Amount Due
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0. 00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Forth Revised