HomeMy WebLinkAbout1044 Glenmoor Dr - Permits/Electrical - 05/18/2016F-1-1 —1
6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1602638
Issued Full: 05/18/2016
Permit Type: Electric Service Change
Site Address: 1044 GLENMOOR DR
Job Valuation: $1,000.00 Category: Residential Remodel
Owner: NIELSEN ELZORA L
1044 GLENMOOR DR
FORT COLLINS, CO 80521-4334 Phone:
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 #:
Code: Res sq ft: 0 Com sq ft: Ind sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: GREGORY ELECTRIC License #: ME-404 Supervisor cert#:
3317 N. LINCOLN AVE
LOVELAND, CO. 80538 Phone: 970-669-7609
Subcontractor(s)
Electrical: GREGORY ELECTRIC
Job Contact: GERALD J PALASZEWSKI
Work Description: Relocate of.laterals and changing the meter sockets for City of Fort Collins Light and Power. Install per 2014
NEC. No increase in amps- using existing service size.
Basement sq ft:
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.Eom/CitizenAccess/mobile
Inspections: FNE EG
TOTAL FEES PAID AS OF 05/18/16: $47.50 Payment method: Check 2231
" 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 work on the properly 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: `Z Date: 50 0 �l
Forth Revised Oct 2010
Uty of Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
y Fort Collins 970.221.676o 970.224.6134 -fax
� Building Permit #: B1602638
Issued Full: 06/18/2016
Permit Type: Electric Service Change
j Site Address: 1044 GLENMOOR DR
Job Valuation: $1,000.00 Category: Residential Remodel
i
I Transactions
I Method Check Number Date Paid Amount Paid Comments
Check CK# 2231 05/18/2016 $47.50
Receipt issued: 05/18/2016 Total Paid to Date: $47.50
Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251.122030 $19.25 $19.25
County Sales/Use Tax 100.217030 $3.25 $3.25
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES:
$47.60 $47.60
Date Paid
Amount Due
05/18/2016
$0.00
05/18/2016
$0.00
05/18/2016
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form