HomeMy WebLinkAbout2213 Creekwood Dr - Permits/Electrical - 03/14/2013/0.F,�o�rfCollins
Site Address: 2213 CREEKWOOD DR
Job Valuation: $1,500.00 Category: Single Family Detach Res
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1301147
Issued Full: 03/14/2013
Permit Type: Electric Service Change
Owner: HOLTHOUSE MATTHEW E
2213 CREEKWOOD DR
FORT COLLINS, CO 80525 Phone: 303-586-3957
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #:
Code: Res sq ft: 0 Com sq it:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: MOUNTAINTOP ELECTRIC
8738 Chase Dr. #134
Arvada, CO 80003
Subcontractor(s
Electrical: I MOUNTAINTOP ELECTRIC
Job Contact: Todd AlanBrooks r7
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Work Description: Service change from 125 Amps to 1
Ind sq ft: _
Const Type:
Stock plan options:
License #: ME-1316
Phone: 303-995-6671
Lot #: Block #:
Basement sq ft:
Supervisor cart #:
�Phone r
303-995-6671 IF L
License Number
ME-1316
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II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769. *** By Web: hftp://amos.fcgov.com/CitizenAccess II
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
InsDections: FNE EG
TOTAL FEES PAID AS OF 03/14/13: S58.38 Payment method: Check 1071
Fee Detail Displayed on Next Page
Asa condition for the issuance of a permit, I hereby declare that I am the owner or owner's 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 maybe
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: ,1---Print Name: J�,) tlGS�_L, Date:
/ Form Revised Oct 2010
Clty of
�ort Collins
Site Address: 2213 CREEKWOOD DR
Job Valuation: $1,500.00 Category: Single Family Detach Res
Transactions
Method Check Number Date Paid Amount Paid
Check CK # 1071 03/14/2013 $58.38
Receipt issued: 03/14/2013 Total Paid to Date: $58.38
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1301147
Issued Full: 03/14/2013
Permit Type: Electric Service Change
Comments
Paid by Mountain Top Electric LLC with check 1071
Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251.122030 $28.88 $28.88
County Sales/Use Tax 100.217030 $4.50 $4.50
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES:
Date Paid Amount Due
03/14/2013 $0.00
03/14/2013 $0.00
03/14/2013 $0.00
$58.38 $58.38 $0.00
TOTAL BALANCE DUE AS OF 03/1412013: 0.00
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F',
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010