HomeMy WebLinkAbout4700 LADY MOON DR - PERMITS - 2/8/2019 (2)arof
t Collins
Site Address: 4700 LADY MOON DR
Job Valuation: $1,189,900.00 Category:
Owner: BANNER HEALTH SYSTEMS
1441 N 12TH STREET
PHOENIX, AZ 85006
Zoning: Front setback:
Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.22i.676o 970.224.6134 -fax
Building Permit #: B1810899
Issued Full: 02/08/2019
Permit Type: Com, Ind or Mixed Use Alteration
Phone: 970-631-6075
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: HC -HARMONY CORRIDOR DISTRICT
Legal: Subdivision/PUD: Filing M Lot M 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 &
PETERSONINC
797 VENTURA ST
License #: B-157 Supervisor cert#: 2078-13
Phone: 303-363-7101
AURORA, -GUI 80011
Subcontractor'(s)�-� _ �`� Phone ❑ I -License Number
' I I 2 i -,..4 ---..�
Electrical: � ;_ GREINER ELECTRIC _ - �, f � 303-470-9702-1 ME-767--
�\ !
Mechanical: KUCWMECHANICAL CONTRACT`OR 970461-3553
Plumbing: ! i WRAY PLUMBING & HEATING CO 970-48215354MP B
Job Contact: KENT'.,WEICHT r i i ; I '--_303-363-7.101__. 1 7 i
L
Work Description: Tenant remodel of 4,482 sq. ft. for -"Banner Health". Work to include the build -out of existing space to a te•post
partum birth recovery rooms. Worlcto:be done-ori second -floor and include all necessary electrical, plumbing, and mechanical for
build -out. Job Contact - Jayson Malisani - 72C=656-7854
II SCHEDULE INSPECTIONS: ** Text Message: 888406-6394 ** Website: http://www.fcgov.com/CitizenAccess II
** Phone: 970-221-6769 **Mobile Website: httD://www.fcgov.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 03/18/19: $9.279.01 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.
Signature:
Print Name:
Date:
Form Revised Oct 2010