HomeMy WebLinkAbout924 Gilgalad Way - Permits/Electrical - 07/19/2016city O 1 Community Development & Neighborhood Services
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Collins
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
j Building Permit #: B1602996
Issued Full: 07/19/2016
Permit Type: Residential Electrical
Site Address: 924 GILGALAD WAY
Job Valuation: $9,350.00 Category: Residential
j Owner: TAYLOR DONALD R
j 924 GILGALAD WAY
FORT COLLINS, CO 80526 Phone:
j Zoning: Front setback: Rear setback: Right setback: Left setback:
i Minor Amend #: Plat File #: ZBA Case #:
Zoning district: MMN - MEDIUM DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
f
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: TRIPLE G ELECTRIC License #: ME-1111 Supervisor cert#: 2917-S
7632 NCR 19
FORT COLLINS, CO 80524 Phone: 970-310-9086
Subcontractor(s) Phone License Number
i
Electrical: TRIPLE G ELECTRIC 976-310-9086 ME-1111 .. .
Solar Energy: BURNHAM-BECK, & SON,LLC. 970-482-6924 . S-2061
Work Description: Battery back up for. medical equipment inverter, batteries, and critical load panels. Install per 2014 NEC..
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 07/19/16: $358.63 Payment method: Check 1982
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 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.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name:
. Date: l
/ Form Revised Oct 2010
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1602996
Issued Full: 07/19/2016
Permit Type: Residential Electrical
Site Address: 924 GILGALAD WAY
Job Valuation: $9,350.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
1 Check CK# 1982 06/03/2016
$358.63
Check#1982 by Burnham & Sun
Receipt issued: 07/19/2016 Total Paid to Date:
$358.63
Fee Description Account Code
Fee Amount
Amount Paid Date Paid
{ Building Permit Fee Without 1000.422010
$148.25
$148.25 06/03/2016
Subs
i City Sales/Use Tax 251.122030
$179.99
$179.99 06/03/2016
j County Sales/Use Tax 100.217030
$30.39
$30.39 06/03/2016
TOTAL FEES: $358.63 $368.63
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.