HomeMy WebLinkAbout4700 LADY MOON DR - PERMITS - 7/6/2017orfCollins
Site Address: 4700 LADY MOON DR
Job Valuation: $159,000.00 Category:
Owner: Jim Horiike
4700 Lady Moon Drive
FORT COLLINS, CO 80528
nity Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1702601
Issued Full: 07/06/2017
Permit Type: Com, Ind or Mixed Use Alteration
Phone:970-350-6261
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: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: AP MOUNTAIN STATES, LLC DBA ADOLFSON &!
PETERSON INCH/_" L,\� 1
7
797 VENTURA ST1 �V -
AURORA, CO 8001-1'; i
License #: B-157
Phone: 303-363-7101
Supervisor cert#:
3r
Job
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 FIR RE RP GL FNE FNP FNM UGE AW
TOTAL FEES PAID AS OF 07/06/17: $5,678.51 Payment method: Cash
Fee Detail Displayed on Next Page
As a condition for the issuance of a pennit, 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.
Of
Print Name_-_k � /i�%At_��_Date:
T— Fonn Revised Oct 2010
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
Ins970.221.676o 970.224.6134-fax
Building Permit #: B1702601
Issued Full: 07/06/2017
Permit Type: Corn, Ind or Mixed Use Alteration
Site Address: 4700 LADY MOON DR
Job Valuation: $159,000.00 Category:
Transactions
Method Check Number Date Paid Amount Paid Comments
Cash 07/06/2017 $0.01 paid 1 penny
Check CK # 687710 05/16/2017 $5,678.50 Adolfson & Peterson Construction ck # 687710
Receipt issued: 07/06/2017 Total Paid to Date: $5,678.51
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee w/Subs 1000.422010 $1,418.18 $1,418.18 05/16/2017 $0.00
City Sales/Use Tax 251.122030 $3,060.75 $3,060.75 07/06/2017 $0.00
County Sales/Use Tax 100.217030 $516.75 $516.75 05/16/2017 $0.00
Plan Check Fee 1000.444010 $682.83 $682.83 05/16/2017 $0.00
TOTAL -FEES: $5,678.51 $5,678.61 $0.00
/ TOTAL -BALANCE DUE AS OFr07/06 2017: 0.00
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V._
Fee Amounts are valid for date of this document only. Fees subject to change without notice.