HomeMy WebLinkAbout3749 Ashmount Dr - Permits/Electrical - 06/17/2016Community Development & Neighborhood Services
CIt�/ 7 ot 281 N. College Ave Fort Collins, CO 80522
! 97o.22i.676o 970.22¢.6i3¢ -f
Fort Collins i�
Building Permit #: B1603280
Issued Full: 06/17/2016
j.: Permit Type: Residential Electrical
Site Address: 3749 ASHMOUNT DR
i;
I Job Valuation: $325.00 Category: Residential
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j Owner: NAFFZIGER SAMUEL D
3749 ASHMOUNT DR
j FORT COLLINS, CO 80525 Phone: 970-282-9889
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: Com sq ft: Ind sq ft: Basement sq ft:
' # of stories: Occ Group: Const Type:
'. Fire Sprklr: Stock plan #: Stock plan options:
Contractor:
j Subcontractor(s)
License #: Supervisor cert #:
Phone:
Phone
License Number
Work Description: Add 1 240v 50amp circuit to garage panel.for electric vehicle charging station. NO SERVICE CHANGE. Install per
2014 NEC. Homeowner to do all electrical work; homeowner affidavit ori file.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess I
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: RE EG FNE UGE FNM FNP
TOTAL FEES PAID AS OF 06/17/16: $32.32 Payment method: Credit Card 0241
" 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 IAG-dgys from the date of such permit.
Carbon Monoxide Alarm required Within 15 feet of each bedroom entrance.
Print Name: G/�/� �i� / Date:
Form Revised Oct 2010
F_'_orIt CollinS
j Site Address: 3749 ASHMOUNT DR
i Job Valuation: $325.00 Category: Residential
1 Transactions
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: 131603280
Issued Full: 06/17/2016
Permit Type: Residential Electrical
Method Check Number Date Paid
Amount Paid
Comments
j Credit Card CK # 0241 06/15/2016
$32.32
.. Receipt issued: 06/17/2016 Total Paid to Date:
$32.32
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
t: Building Permit Fee Without .1000.422010
$25.00
$25.00
06/15/2016
Subs
City Sales/Use Tax 251.122030
$6.26
$6.26
06/15/2016
j: County Sales/Use Tax 100.217030
3
$1.06
$1.06
06/15/2016
TOTAL FEES:
,d
$32.32
$32.32
�I
TOTAL BALANCE DUE AS OF 06/17/2016:
it
i.
Amount Due
$0.00
$0.00
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Forth Revised