HomeMy WebLinkAbout1012 Meadowbrook Dr - Permits/Electrical - 04/24/2017F6rt of
Site Address: 1012 MEADOWBROOK DR
Job Valuation: $1,000.00 Category: Residential Remodel
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1702140
Issued Full: 04/24/2017
Permit Type: Electric Service Change
Owner: SCOUT LLC
1631 STREAMSIDE DR
FORT COLLINS, CO 80525 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/PLID:
Filing #: Lot #: Block #:
Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement 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)_
Phone License Number
Electrical: GREGORY_ELECTRIC _.�_ i' 970 669-7609--� C �J - ; ME 404---
Job Contact: _GERALD J.PALASZEWS 'I/ 970 669-7609 — � I I I � �
Work Description: Service ctiange on behalf of the City of Fort -Collins Light aria Power. Install per 2014 NEC. No increase -in amps -
using existing service size. /
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FNE EG
TOTAL FEES PAID AS OF 04/24/17: $47.50 Payment method: Check 51973
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 d the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Print Name: C� I Z Date:
Forth Revised Oct 2010
/0.F,�o�rfCollins
Site Address: 1012 MEADOWBROOK DR
Job Valuation: $1,000.00 Category: Residential Remodel
Transactions
Check CK#51973 04/24/2017 $47.50
Receipt issued: 04/24/2017 Total Paid to Date: $47.50
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $19.25
County Sales/Use Tax 100.217030 $3.25
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1702140
Issued Full: 04/24/2017
Permit Type: Electric Service Change
Amount Paid Date Paid Amount Due
$19.25 04/24/2017 $0.00
$3.25 04/24/2017 $0.00
$25.00 04/24/2017 $0.00
TOTAL FEES: $47.50 $47.50
$0.00
TOTAL BALANCE DUE AS OF 04124/2017: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.