HomeMy WebLinkAbout4700 LADY MOON DR - PERMITS - 4/14/2020�F�ort Collins
Site Address: 4700 LADY MOON DR
Job Valuation: $369,248.00 Category:
Owner: BANNER HEALTH
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Zoning: Frontsetback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B2000784
Issued Full: 04/14/2020
Permit Type: Com, Ind or Mixed Use Addition
Phone: 970-810-2011
Right setback: Left setback:
Minor Amend #: MA180063 Plat File #: ZBA Case #:
Zoning district: HC -HARMONY CORRIDOR DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 0
# of stories: 1
Rear setback:
Filing #: Lot #: 1 Block #:
Ind sq ft: _
Const Type: II-B
Fire Sprklr: Yes Stock plan #: Stock plan options:
Contractor: SAILER CONSTRUCTION OF FORT COLLINS INC
5318 HIGHCASTLE DR
FORT COLLINS, CO 80525
Subcontractorls
Com sq ft: 1739
Occ Group: B
Electrical:
FISKE ELECTRIC
Mechanical:
KUCK MECHANICAL CONTRACTOR
Plumbing:
INNOVATIVE MECHANICAL & DE
Roofing:
FRONT RANGE ROOFING SYSTEM
Job Contact:
JOHN SAILER
License #: B-434
Phone: 970-412-9605
Phone
970-667-9569
970461-3553
970-999-2598
970-353-2322
970412-9605
Basement sq ft:
Supervisor cert#:
License Number
ME49
H-1695
M P-871
R-566
Work Description: Construction of a short- term addition to existing 'Banner Health' hospital. The addition is a vestibule, clean storage,
and pump room that connects a prefabricated modular catherization lab building to the hospital (addition will remain 3-8 years while
permanent lab is designed and constructed). Job contact: John Sailer970-412-9605.
IISCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769 II
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcoov.com/CitizenAccess/mobile
Possible Inspections Required: 101 105 203 201 206 202 204 301 300 302 103 402 303 100 200 400 102
207 205 104 401 11
TOTAL FEES PAID AS OF 04/14120: $16.645.01 Payment method: Check 4236886
**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 Wth 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
�of
t Collins
Site Address: 4700 LADY MOON DR
Job Valuation: $369,248.00 Category:
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B2000784
Issued Full: 04/14/2020
Permit Type: Com, Ind or Mixed Use Addition
Method Check
Number Date Paid
Amount Paid
Comments
Fund Transfer
01/24/2020
$919.43
Check CK# 4236886 04/14/2020
$15,413.58
Check CK# 12701 01/24/2020
$312.00
Receipt issued: 04/14/2020 Total Paid to Date:
$16,645.01
Fee Description
Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee w/Subs
1000.422010
$2,557.58
$2,557.58
04/14/2020
$0.00
City Sales/Use Tax
251.122030
$7,108.02
$7,108.02
04/14/2020
$0.00
County Sales/Use Tax
100.217030
$1,476.99
- $1,476.99
04/14/2020
$0.00
Fire Capital Exp. (Com)
103922.442020
$994.71
$994.71
04/14/2020
$0.00
General Govt. Capt. Exp.
510810.441080.0
$2,719.80
$2,719.80
04/14/2020
$0.00
(Com)
Plan Check Fee
1000.444010
$1,231.43
$1,231.43
01/24/2020
$0.00
Police Capital Exp. (Com)
602900.442010
$556.48
$556.48
04/14/2020
$0.00
TOTAL FEES:
$16,645.01
$16,645.01
$0.00
TOTAL BALANCE DUE AS OF 04/14/2020:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Forth Revised Oct 2010