HomeMy WebLinkAbout1321 Shields St - Permits/Electrical - 03/29/2011City of
F6rt Collins
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Site Address: 1321 S SHIELDS ST
Job Valuation: $6,150.00 Category: Residential
Owner: COOK, DEBRA J
1321 S SHIELDS ST
FORT COLLINS, CO 80521
Zoning: Front setback:
Minor Amend #:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1101505
Issued Full: 04/14/2011
Permit Type: Residential Electrical
Phone: 303-404-3808
Rear setback: Right setback: Left setback:
Plat File #: ZBA Case #:
Zoning district: NCB - NEIGHBORHOOD CONSERVATION - BUFFER DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: BENTON ELECTRIC, LLC
3201 E MULBERRY ST #0
FT COLLINS, CO 80524
Subcontractors) --
Electrical: j BENTON-ELECTRIC- LLC , -,
L._ i
r
Filing #: Lot M Block M
_ Ind sq ft: Basement sq ft:
_ Const Type:
Stock plan options:
License #: ME-1148 Supervisor cert #:
Phone: 970-221-2151
�l
Phone ! i _ License Number
970-221-21511 ;�-- ME-1148 -- y
Work Description: REWIRE ALL ELECTRIC THROUGH -OUT ENTIRE HOUSE TO MEET BOARDING HOUSE REQUIREMENTS
PER 2008 NEC(WILL BE APPLYING FOR PERMIT TO CONVERT FROM SINGLE FAMILY TO BOARDING HOUSE)
** SCHEDULE INSPECTIONS *** By. Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess
Ilnspections: UGE FNP FNM RE EG FNE
TOTAL FEES PAID AS OF 04/14/11: $205.49 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
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: M�C Date:
Form Revised Oct 2010
City of
F6rt Collins
Site Address: 1321 S SHIELDS ST
Job Valuation: $6,150.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.626o 970.224.6134 -fax
Building Permit #: B1101505
Issued Full: 04/14/2011
Permit Type: Residential Electrical
Method Check
Number Date Paid
Amount Paid
Comments
Credit Card
04/14/2011
$205.49
PAID BY NATE BENTON - BENTON ELECTRIC LLC
CREDIT CARD
Receipt issued: 04/14/2011 Total Paid to Date:
$205.49
Fee Description
Account Code
Fee Amount
Amount Paid
Date Paid Amount Due
Building Permit Fee Without
1000.422010
$62.50
$62.50
04/14/2011 $0.00
Subs
City Sales/Use Tax
251.122030
$118.39
$118.39
04/14/2011 $0.00
County Sales/Use Tax
100.217030
$24.60
$24.60
04/14/2011 $0.00
TOTAL FEES:
$205.49 $205.49
$0.00
TOTAL -BALANCE DUE AS OF 0�4/14/2011: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.