HomeMy WebLinkAbout620 Agate Ct - Permits/Electrical - 09/24/2020Owner: SUNDQUIST STEVEN E
620 AGATE CT
FORT COLLINS, CO 80525 Phone: 970-227-7111
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: MULTI
Legal: Subdivision/PUD: Filing #: Lot #: 4 Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: License #:
Phone:
Supervisor cert #:
Subcontractor(s) Phone License Number
Work Description: Relocate 30 amp and standard outlet for washer and dryer. Homeowner affidavit on file.
SCHEDULE 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
TOTAL FEES PAID AS OF 09/25/20: $28.49 Payment method: Credit Card 1561
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's agent, authorized to perform the proposed workonthepropertydescribedherein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with suchwork. I understand that such permit may be
revoked in the event that issuance was basedonincorrectinformation. This permit shall become null and void if the work authorized by suchpermitisnotcommenced,
suspended, abandoned or not inspected within 180 days fromthedateofsuchpermit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2010936
Issued Full: 09/25/2020
Permit Type: Residential Electrical
Site Address: 620 AGATE CT
Job Valuation: $150.00 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK # 1561 09/24/2020 $28.49
Receipt issued: 09/25/2020 Total Paid to Date: $28.49
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without
Subs
1000.422010 $25.00 $25.00 09/24/2020 $0.00
City Sales/Use Tax 251.122030 $2.89 $2.89 09/24/2020 $0.00
County Sales/Use Tax 100.217030 $0.60 $0.60 09/24/2020 $0.00
TOTAL FEES: $28.49 $28.49 $0.00
TOTAL BALANCE DUE AS OF 09/25/2020: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2010936
Issued Full: 09/25/2020
Permit Type: Residential Electrical
Site Address: 620 AGATE CT
Job Valuation: $150.00 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1. Job site address:
620 Agate Ct
2. Property owner name:
Steve Sundquist
3. Property owner address:
Street Address: : 620 AGATE CT
City: : FORT COLLINS
State: : CO
Zip: : 80525
4. Property owner phone number:
9702277111
5. Project type:
Residential
6. What type of residential?
Single Family Detached
7. Value of work (Labor and Materials)($):
$150
8. Type of permit:
Electrical
Please note: each individual lot requires a separate application and permit.
Please note: each individual appliance requires a separate application and permit.
10. Scope of work:
Other electrical alterations:: Relocating 30amp and standard outlet for Washer / Dryer
11. Service upgrade:
No
12. Contractor name:
Homeowner
13. Contractor address:
620 AGATE CT
14. Contractor phone number:
9702277111
15. Contractor email:
stevesundquist@hotmail.com
16. License number ME-
none
3. Review
B2010936 9/24/2020
18. I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to comply with all requirements contained herein and
city ordinances and state laws regulating building construction. I know that a permit is not valid until it has been paid and issued.
Signature of: Steve Sundquist
Date Signed:
09/23/2020
19. Please include an email address to receive a confirmation and a copy of your answers.
stevesundquist@hotmail.com
4. Thank You!
Thank you for submitting your application for processing.
To submit another over the counter application, click here.