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Home My WebLink About4700 LADY MOON DR - PERMITS - 1/17/2017city, of F6rt Collins Site Address: 4700 LADY MOON DR Job Valuation: $3,700,000.00 Category: Medical Owner: BANNER HEALTH 1441 N 12TH ST PHOENIX, AZ 85006 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit#: B1607251 Issued FF: 01/17/2017 Permit Type: Com, Ind or Mixed Use Addition Phone: 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: 18934 Ind sq ft: Basement sq ft: # of stories: Occ Group: B Const Type: II-B Fire Sprklr: Yes Stock plan #: Stock plan options: Contractor: AP MOUNTAIN STATES, LLC DBA ADOLFSON &' PETERSONINC�% 797 VENTURA ST, AURORA CO 80011, Subcontractorls) ' r Electrical: LGREINER ELECTRIC LL� Li Mechanical: TBA MECHANICAL Plumbing: U S ENGINEERING Roofing: TBA ROOFING/ Job Contact: KENT WEICHT Work Description: Construction�a new 1 story etlical olinicad i License #: B-157 Phone: 303-363-7101 Supervisor cert#: 2078-B License Number ME-1457---,> rBAs 934 sq ft. Job contact: Bryan Kagelmann 720-26611,750. II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II ***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile Inspections: FD SWR FIR RE EG RM GL FNE FNP FNM UGE HC FNB SBF RP AW UGP IN FP WTR HD TOTAL FEES PAID AS OF 01/17/17: $23.373.63 Payment method: Check 681957 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 perm 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: /C Print Name:7%vki Date: 1117I17 Fond Revtsed Oct 2010 rfCollins Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1607251 Issued FF: 01/17/2017 Permit Type: Com, Ind or Mixed Use Addition Site Address: 4700 LADY MOON DR Job Valuation: $3,700,000.00 Category: Medical Transactions Method Check Number Date Paid Amount Paid . Comments Check CK # 681957 01/17/2017 $16,279.20 F&F fees Check C K # 681180 12/05/2016 $7,094.43 Adolfson & Peterson Construction ck # 681180 Receipt issued: 01/17/2017 Total Paid to Date: $23,373.63 Fee Description Account Code Fee Amount Building Permit Fee w/FF 1000.422010 $12,827.70 City Sales/Use Tax w/FF 251.122030 $60,348.75 County Sales/Use Tax w/FF 100.217030 $10,188.75 FF City Sales/Use Tax 251.122030 $10,876.25 FF County Sales/Use Tax 100.217030 $1,836.25 FF Permit Fee 1000.422010 $3,566.70 Plan Check Fee 1000.444010 $7 094 43 -TOTAL FEES: $106,738.83- TC 1 B, Amount Paid $10,876.25 $1,836.25 $3,566.70 $7,094.43 $23,373.63 Date Paid 01/17/2017 01/17/2017 01/17/2017 12/05/2016 Amount Due $12,827.70 $60,348.75 $10,188.75 $0.00 $0.00 $0.00 $0.00 $83,366.20 01/17/2017: I$83:365 20 �uJ Fee Amounts are valid for date of this document only. Fees subject to change without notice.