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HomeMy WebLinkAbout924 Gilgalad Way - Permits/Electrical - 07/19/2016city O 1 Community Development & Neighborhood Services F6rt 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.