HomeMy WebLinkAbout4700 LADY MOON DR - PERMITS - 2/8/2019�of
t Collins
Site Address: 4700 LADY MOON DR
Job Valuation: $1,189,900.00 Category:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
97o.221.676o 970.224.6134 -fax
Building Permit #: B1810899
Issued Full: 02/08/2019
Permit Type: Com, Ind or Mixed Use Alteration
Owner: BANNER HEALTH SYSTEMS
1441 N 12TH STREET
PHOENIX, AZ 85006
Phone: 970-631-6075
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: 2 Occ Group: 1-2
Const Type: I-B
Fire Sprklr: Yes Stock plan #:
Stock plan options:
Contractor: AP MOUNTAIN STATES, LLC DBA ADOLFSON & License #: B-157
Supervisor cert #: 2078-B
PETERSON INC '
791 VENTURA ST
Phone: 303-363-7101
AURORA, -COI 80011 -
Subcontractor(s) (�
'Phone
I
; License Number
y
Electrical: i GREINER ELECTRIC��_.,' Ll , -
f 303470-9702, �
r I I "�� ME-767 --.,
i
Mechanical: US -ENGINEERING COMPANY
Plumbing: US ENGINEERING' i i�
; 303-629 11244 1
303-629-1244
i i H=1062.�.._
i MP-100--
`
7101
C
Job Contact L__j KENT`\WEICHT` %
.\ `,,303-363 _�
Work Description: Tenant remodel of 4,482 sq. ft for%'Banner Health"'Work to include the build -out of existing space to create -post
partum birth recovery rooms. Work to:be-done on second -floor and include all necessary electrical, plumbing, and mechanical for
build -out. Job Contact-Jayson Malisani-720-_656-7854
II SCHEDULE INSPECTIONS: ** Text Message: 888-406-6394 ** Website: http://www.fcgov.com/CitizenAccess II
** Phone: 970-221-6769 **Mobile Website: htto://www.fcaov.com/CitizenAccess/mobile
Possible Inspections Required: 205 102 402 207 101 202 401 100 303 206 105 104 203 201 200 204 301
300 302 103 400
TOTAL FEES PAID AS OF 02108/19: W279.01 Payment method: Check 708464
'* 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.
Print Name: � J'Soo M A L I SlI Nl i Date: _ 2% J iq
Form Revised Oct 2010
arof
t Collins
Site Address: 4700 LADY MOON DR
Job Valuation: $1,189,900.00 Category:
Transactions
Method Check Number Date Paid
Check CK# 708464 02/08/2019
Check CK# 706911 12/21/2018
Receipt issued: 02/08/2019 Total Paid to Date:
Fee Description Account Code
Building Permit Fee w/Subs 1000.422010
Plan Check Fee 1000.444010
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1810899
Issued Full: 02/08/2019
Permit Type: Com, Ind or Mixed Use Alteration
Amount Paid
$6,263.33
$3,015.68
$9,279.01
Fee Amount Amount Paid
$6,263.33 $6,263.33
$3,015.68 $3,015.68
TOTAL FEES: $9,279.01 $9,279.01
Date Paid
02/08/2019
12/21/2018
Amount Due
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS OF 02/08/2019: 0.00
j
I
i I
Fee Amounts are valid for date of this document only. Fees subject to change without notice.