HomeMy WebLinkAbout1057 Robertson St - Permits/Electrical - 06/27/2016City ®f Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
F6rt Collins 970.221.676o 970.224.6134-fax
Building Permit #: B1603554
Issued Full: 06/27/2016
Permit Type: Commercial Electrical
Site Address: 1057 ROBERTSON ST
Job Valuation: $3,000.00 Category: Commercial Remodel
Owner: BENNETT/DITTMAR LLC
1045 ROBERTSON ST
FORT COLLINS, CO 80524 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: E - EMPLOYMENT DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: 0 Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: PROLECTRIC INC License #: ME 444 Supervisor cert#:
54 RISTVIEW RD
BELLVUE, CO 80512 Phone: 970-222-4740
Subcontractor(s)..:.__.__._. ;,Phone License Number
Electrical: PROLECTRI.C..INC 970-222-4740.-- ; ME-444.._-
Job Contact: ILOUS M MERCURIO 970-222-4740, j
_
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Work Description: Add (2) 120.volt circuits and (4) outlets relocates (2) single pole switches
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: RE EG FNE UGE FNM FNP
TOTAL FEES PAID AS OF 06/27/16: $144.00 Payment method: Check 9124
`* 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.
Signa re• Print Name: r.h.�S /'/�''L�j��Date: 114
Form Revised Oct 2010
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���� ��~ Community Deuelopment&Neighborhood Seruices
� ■ 281 N. College Ave Fort Collins,CO 80522
��� � ��� 970.221.6�60 970.224.6i34 -fax
Building Permit#: B1603554
� Issued Full: 06/27/2016
Permit Type: Commercial Electrical
Site Address: 1057 ROBERTSON ST
Job Valuation: $3,000.00 Category: Commercial Remodel
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK#9124 06/27/2016 $144.00
'� Receipt issued: 06/27/2016 Total Paid.to Date: $144.00
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without 1000.422010 $76.50 $76.50 06/27/2016 $0.00
� Subs
City Sales/Use Tax 251.122030 $57.75 $57.75 06/27/2016 $0.00
County Sales/Use Tax 100.217030 $9.75 $9.75 06/27/2016 $0.00
TOTAL FEES: $144.00 $144.00 $0.00
�.:
; .
, . � ` ��� TOTAL BALANCE DUE AS OF 06/27/2016: 0.00
Fee Amounts are valid for date of this document only.Fees subject to change without notice.