HomeMy WebLinkAbout4700 LADY MOON DR - PERMITS - 11/14/2013Trill
mot` Collins
Site Address: 4700 LADY MOON DR
Job Valuation: $10,000.00 Category: Single Family Detach Res
Owner: Banner Development
Matt Bilstein, 2000 S. Colorado Blvd.
Denver, CO 80222
Zoning: Frontsetback:
Rear setback:
281 N. CollegeAue Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone: 303-691-7629
Right setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: HC - HARMONY CORRIDOR DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Building Permit #:
Issued Full:
Permit Type
Left setback:
Filing #: Lot #: Block #:
Corn sq ft: Ind sq ft:
Occ Group: Const Type: _
Stock plan #: Stock plan options:
Contractor: BARKER CONSTRUCTION
142 N. TIMBERLINE RD
FORT COLLINS, CO 80524
Subcontractorls
Demolition: rr BARKER CONSTRUCTION
Job Contact: j1— KENNETH-BARKER-1
License #: DM-374
Phone:970-482-9526
�/ 970-482-9526
Basement sq ft:
B1305985
11/14/2013
Demolition
Supervisor.cert #:
—� License Number
DM-374
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Work DescriDtion: ComDlete demolition of a 1918 so. ft. 2_story single familyresidence. Owner au tliori2ation-o`njile. Received
approved State demolition application (and authorized by Mike Gebo). The -address was formerly 3808 Lady Moon Dr. arid--was
changed during the Banner Health.Medical Campus.revieww� 00-Lady Moon Dr.
v _-
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: FNB
TOTAL FEES PAID AS OF 11/14113: $50.00 Payment method: Check 1368
" Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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 if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit
r ��° / 1
P R
Signature• Print Name. � � � Date. (J
Form Revised Oct 2010
of
City
Cr
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Site Address: 4700 LADY MOON DR
Job Valuation: $10,000.00 Category: Single Family Detach Res
Transactions
Check CK# 1368 11/14/2013
Receipt issued: 11/14/2013 Total Paid to Date:
Fee Description Account Code
Permit Flat Fee w/o Subs $50 1000.422010
TOTAL FEES:
Building Permit #:
B1305985
Issued Full:
11/14/2013
Permit Type:
Demolition
Amount Paid Comments
$50.00 Paid by Barker Construction Company Inc. ck#1368
$50.00
Fee Amount Amount Paid Date Paid Amount Due
$50.00 $50.00 11/14/2013 $0.00
$50.00 $50.00
TOTAL BALANCE DUE AS OF 11/14/2013:
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
$0.00
0.00
Form Revised Oct 2010