HomeMy WebLinkAbout3049 Bluegrass Dr - Permits/Electrical - 08/22/2019�of
t Collins
Site Address: 3049 BLUEGRASS DR
Job Valuation: $700.00 Category: Commercial Remodel
Owner: LORSON SOUTH LAND CORP
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1908184
Issued Full: 08/22/2019
Permit Type: Commercial Electrical
212 N WAHSATCH AVE STE 301
COLORADO SPRINGS, CO 80903-3476 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 0 Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: TRI-CITY ELECTRIC II
813 East 18th Street Unit 6
GREELEY, CO 180631
Subcontracttir(s)_ 7
Electrical: j TRI-CITY_ELECTRIC II.'
t ,r
Work Description: Electric Hook up for remote TV cabine
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: ME-344 Supervisor cert#:
Phone:970-352-5731
-#
License Number
1� �ME-344----
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IISCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 201 206 301 103 302 300 1
TOTAL FEES PAID AS OF 08/22/19: $46.77 Payment method: Check 3743
*' 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: Vnt Name: �Q e I �!- VCdc g mate: Fl o2 g
Form Revised Oct 2010
City of
�,.F,�rt Collins
Site Address: 3049 BLUEGRASS DR
Job Valuation: $700.00 Category: Commercial Remodel
Transactions
Method Check Number Date Paid Amount Paid
Check CK# 3743 08/22/2019 $46.77
Receipt issued: 08/22/2019 Total Paid to Date: $46.77
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $30.50
Subs
City Sales/Use Tax 251.122030 $13.47
County Sales/Use Tax 100.217030 $2.80
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1908184
Issued Full: 08/22/2019
Permit Type: Commercial Electrical
Comments
Amount Paid Date Paid Amount Due
$30.50 08/22/2019 $0.00
$13.47 08/22/2019
$2.80 08/22/2019
$0.00
$0.00
TOTAL FEES: $46.77 $46.77 $0.00
TOTALBALANCE DUE AS OF 08/22/2019: 0.00
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!ate
Fee Amounts are valid for date of this document only. Fees subject to change without notice.