HomeMy WebLinkAbout1000 Boltz Dr - Permits/Electrical - 05/23/2012arof
t Collins
Site Address: 1000 BOLTZ DR
Job Valuation: $300.00 Category: Residential
Owner: FRENCH DIANA/SHONI KAREE
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1203084
Issued Full: 05/23/2012
Permit Type: Residential Electrical
1000 BOLTZ DR
FORT COLLINS, CO 80525 Phone: 303-328-1677
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 #: Lot #: Block M
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprkir: Stock plan #: Stock plan options:
Contractor: License #: Supervisor cert #:
i
Phone:
Subcontractoi(s)� Phone License Number
0 0
Work Description: CHANGE ELECTRIC MAIN PANEL PER 2011 NEC= HOMEOW DAVIT ON FILE
SCHEDULE INSPECTIONS: "' By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: UGE FNP FNM RE EG FNE
TOTAL FEES PAID AS OF 05/23/12: $31.98 Payment method: Check 203
Fee DeWl Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror 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: Sh(/1l,r —r� Date: SZ
3
Form Revised Oct 2010
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t Collins
Site Address: 1000 BOLTZ DR
Job Valuation: $300.00 Category: Residential
Transactions
Check CK # 203 05/23/2012 $31.98
Receipt issued: 05/23/2012 Total Paid to Date: $31.98
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $25.00
Subs
City Sales/Use Tax 251.122030 $5.78
County Sales/Use Tax 100.217030 $1.20
TOTAL FEES:
Community Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1203084
Issued Full: 05/23/2012
Permit Type: Residential Electrical
Comments
PAID BY DIANA FRENCH CK#203
Amount Paid Date Paid Amount Due
$25.00 05/23/2012 $0.00
$5.78 05/23/2012
$1.20 05/23/2012
$31.98 $31.98
'> TOTALBALANCE
f
$0.00
$0.00
$0.00
DUE AS OF 0S/23/2012: 0.00
O
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010