HomeMy WebLinkAbout4700 LADY MOON DR - PERMITS - 1/25/2016I C�ty Of
...LLCommunity Development & Neighborhood Services
281
N. College Ave Fort Collins, CO 80522
•' I Fort CoRin
970.221.6760 970.224.6134 -fax
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Building Permit #: B1508847
Issued Full: 01/25/2016
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Permit Type:
Com, Ind or Mixed Use Alteration
j Site Address: 4700 LADY MOON DR
Job Valuation: $70,984.00 Category:
I.'
..i Owner: BANNER HEALTH
I ! 1441 N 12TH ST
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PHOENIX, AZ 85006
Phone:
I Zoning: Front setback: Rear setback:
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Right setback:
Left setback:
Minor Amend #: Plat File #:
ZBA Case #:
.' Zoning district: HC - HARMONY CORRIDOR DISTRICT
Legal: Subdivision/PUD:
Filing #:
Lot #: 1 Block M
C; Code: Res sq ft: 0 Corn sq ft:
Ind sq ft:
Basement sq ft:
f j # of stories: Occ Group:
Const Type:
E j Fire Sprklr: Stock plan #:
Stock plan options:
`j Contractor: JE DUNN CONSTRUCTION CO
3 ' 2000 S. COLORADO BLVD #12000
License #: A-106
Supervisor cert#:
DENVER, CO 80522
Phone: 303-753-8988
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Subcontractor(s)
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f
Phone
License Number
f Plumbing: RK MECHANICAL INC
j Job Contact: Michael Sills.,
303-355-9696 ..
MP-339.
303-753-8988..
L.,
Work Description: Construct 23' x 11' concrete loading dock ramp on north end of buidling. Snow melt system will be installed in ramp.
Building owner authorization on file. Job contact: Mike.Sills 303-300-7680
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
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 01/25/16: $1.281.01 Payment method: Check 3476804
* 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 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 � L--- Print Name: � � V A4 5 Date: 'X 5' f�
Form Revised Oct 2010
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City of Community Development & Neighborhood Services
k i 281 N. College Ave Fort Collins CO 80522
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6et Collins 970.221.6760 970.22¢.613¢ fax
€ Building Permit #: B1508847
Issued Full: 01/25/2016
Permit Type: Corn, Ind or Mixed Use Alteration
Site Address: 4700 LADY MOON DR
Job Valuation: $70,984.00 Category:
I
Transactions
s.
Method Check Number Date Paid Amount Paid
i. Check C K # 3476804 12/24/2015 $1,281.01
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c, Receipt issued: 01/25/2016 Total Paid to Date: $1,281.01
il Fee Description Account Code Fee Amount
i Building Permit Fee w/Subs 1000.422010 $864.68
I Plan Check Fee 1000.444010
$416.33
Comments
BANNER HEALTH ck# 3476804
Amount Paid Date Paid Amount Due
$864.68 12/24/2015 $0.00
$416.33 12/24/2015 $0.00
TOTAL FEES: $1,281.01 $1,281.01 $0.00
TOTAL BALANCE DUE AS OF 01/25/2016: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.