HomeMy WebLinkAbout1408 Banyan Dr - Permits/Electrical - 08/17/2009City of
F6rt Collins
Site Address: 1408 BANYAN DR
Job Valuation: $800.00 Category: Residential
Owner: DUMKE, PAUL R
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-o58o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0904938
Issued Full: 08/17/2009
Permit Type: Residential Electrical
8442 W 24TH AVE
LAKEWOOD, CO 80215 Phone: 303-238-4472
Zoning: Front setback: Rear setback: Right setback: Left setback:
Zoning district: RL Plat File #: ZBA Case #: Minor Amend #:
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: OVERLOOK ELECTRIC License #: ME-762 Supervisor cert#:
2475 AGATE DR
LOVELAND, CO 80538 Phone: 970-663-2913
Subcontractor(s) Phone - License Number
Electrical — -OVERLOOK ELECTRIC 970-663-2913 ME-762
i
Work Description: INSTALL NEW ELECTRICAL PANEL— -
**SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
Inspections: UGE FNP FNM RE EG FNE
TOTAL FEES PAID AS OF 08/17/09 $30.20 Payment method: Credit Card
'* 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: t 5/a Date: (S - l/
Form Revised Oct 2008
City of
F6rt Collins
/11100�
Site Address: 1408 BANYAN DR
Job Valuation: $800.00 Category: Residential
Method Check Number Date Paid Amount Paid
Credit Card 08/17/2009 $30.20
Receipt issued: 08/17/2009 Total Paid to Date: $30.20
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $15.00
Subs
City Sales/Use Tax 251.122030 $12.00
County Sales/Use Tax 100.217030 $3.20
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-o58o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0904938
Issued Full: 08/17/2009
Permit Type: Residential Electrical
Comments
PAID BY OVERLOOK CC
Amount Paid
Date Paid
Amount Due
$15.00
08/17/2009
$0.00
$12.00
08/17/2009
$0.00
$3.20
08/17/2009
$0.00
TOTAL FEES: $30.20 $30.20 $0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.