HomeMy WebLinkAbout4700 LADY MOON DR - PERMITS - 3/27/2017CityO Community Development & Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1607251
Issued Full: 03/27/2017
Permit Type: Com, Ind or Mixed Use Addition
Site Address: 4700 LADY MOON DR
Job Valuation: $3,700,000.00 Category: Medical/Dental Clinics
Owner: BANNER HEALTH
1441 N 12TH ST
PHOENIX, AZ 85006 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: 1 Occ Group: B Const Type: II-B
Fire Sprklr: Yes Stock plan #: Stock plan options:
Contractor: AP MOUNTAIN STATES, LLC DBA ADOLFSON 8 License #: B-157 Supervisor cert#: 2078-B
PETERSON INC"�' UU -LP
797 VENTURA STD ' .i Phone: 303-363-7101
AURORA, CO 80011
Subcontractor(s) Y n / iPhone I I I f r License Number
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***Bv Mobile Device: httD://www.fcaov.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 03/27/17: $261,069.55 Payment method: Check 3724049
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 Slate 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.
L-j" Print Name =�A �IA L►s ) Date: 2 20 /
F n Revised Oct 2010
Date Paid
Amount Due
03/27/2017
$0.00
01 /17/2017
$0.00
03/27/2017
$0.00
03/27/2017
$0.00
03/27/2017 $0.00
12/05/2016 $0.00
City of
F6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1607251
Issued Full: 03/27/2017
Permit Type: Com, Ind or Mixed Use Addition
Site Address: 4700 LADY MOON DR
Job Valuation: $3,700,000.00 Category: Medical/Dental Clinics
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK # 681180 12/05/2016 $7,094.43 Adolfson & Peterson Construction ck # 681180
Check C K # 3724049 03/27/2017 $237,695.92 Banner Health paid by CK# 3724049
Check CK# 681957 01/17/2017 $16,279.20 F&F fees
Receipt issued: 03/27/2017 Total Paid to Date: $261,069.55
Fee DescriDtion
Building Permit Fee w/FF
FF Permit Fee
Fire Capital Exp. (Com)
General Govt. Capt. Exp.
(Com)
Larimer County Reg. Road
Plan Check Fee
Police Capital Expr(Com)
Stormwater PIF
Street Oversizing: Com.
Account Code
1000.422010
1000.422010
103922.442020
510810.441080.0
zvl.Z1133UI L _�
1000.444010 l
"602900.442010
5040.473510
2910 544 010 F',
)EESJTOTAL,FI
\ / LJ
Fee Amount Amount Paid
$12,827.70
$12,827.70
$3,566.70
$3,566.70
$6,229.29
$6,229.29
$14,768.52
$14,768.52
/F
C$20.486.58
) $7;094.43
$20,486.58
$7,094.43
$3124.1'1
$3,124.11
$3�442.88
$3,44`88
$189,529.34
�$189;52
L$261,069.6 �$26d1 6N5