HomeMy WebLinkAbout1036 S Taft Hill Rd - Permits/Electrical - 08/04/2017City of
F6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1704314
Issued Full: 08/04/2017
Permit Type: Electric Service Change
Site Address: 1036 S TAFT HILL RD
Job Valuation: $1,000 00 Category: Residential Remodel
Owner: FOWLER STEPHEN W/MARVIN D
1036 S TAFT HILL RD
FORT COLLINS, CO 80521-4223
Zoning: Front setback
Phone
Rear setback Right setback Left setback
Minor Amend # Plat File # ZBA Case #
Zoning district RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD
Code: Res sq ft 0 Com sq ft
# of stories Occ Group
Fire Sprklr Stock plan #
Contractor: GREGORY ELECTRIC�
3317 N LINCOLN'AVE
LOVELAND, CO` `8, _ 0538
Subcontractors)
Electrical GREGORY ELECTRIC
Job Contact GERALD J PALASZEWSKI
7
U
Work Description Service change on.behalf of the City of
using existing service size e�
Filing # Lot # Block #
Ind sq ft
Const Type _
Stock plan options
License # ME-404
Phone 970-669-7609
Basement sq ft
Supervisor cert#
License Number
❑ ME-404
ns Light and Power Install per 2017 NEC No i6crease_in amps -
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: hftp://www.fcgov.com/CitizenAccessimobile
Ins ections FNE EG
TOTAL FEES PAID AS OF 08/04117: $47.50 Payment method: Check 2270
Fee Detail Displayed on Next Page
As a coridibon 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 assmated 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
Signature: Print Name: /)r;A IS GetDate: �� 7 ' l I
Forth Revised Oct 2010
fins
Site Address: 1036 S TAFT HILL RD
Job Valuation: $1,000 00 Category: Residential Remodel
Transactions
Method Check Number Date Paid
Check CK#2270 08/04/2017
Receipt issued: 08/04/2017 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251 122030
County Sales/Use Tax 100 217030
Permit Flat Fee w/o Subs $25 1000 422010
Amount Paid
$47 50
$47 50
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
97o.221.676o 970.224.6134 -.fax
Building Permit #: B1704314
Issued Full: 08/04/2017
Permit Type: Electric Service Change
Comments
GREGORY ELECTRIC INC paid with check #2270
Fee Amount
Amount Paid
$19 25
$19 25
$3 25
$3 25
$25 00
$25 00
Date Paid
Amount Due
08/04/2017
$0 00
08/04/2017
$0 00
08/04/2017
$0 00
TOTAL FEES: $47.60 $47.60 $0.00
�{ OT.OTAL BALANCE DUE AS OF 08/04/2017: 0.00
u ��JJ ❑
O O
Fee Amounts are valid for date of this document only. Fees subject to change without notice.