HomeMy WebLinkAbout1201 N College Ave - Permits/Electrical - 12/01/2017City of
,,.F�t Collins
Site Address: 1201 N COLLEGE AVE
Job Valuation: $5,410.00 Category: Miscellaneous
Owner: INTERNATIONAL CHURCH OF
1201 N COLLEGE AVE
FORT COLLINS, CO 80524
Phone:
munity Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1708095
Issued Full: 12/01/2017
Permit Type: Commercial Electrical
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: CS - SERVICE COMMERCIAL 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 80538
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: ME-404 Supervisor cert#:
Phone: 970-669-7609
Subcontractor(s) Phone License Number
Electrical: GREGORY ELECTRIC 970-669-7609 ME-404
Job Contact: GERALD J PALASZEWSKI 970-669-7609
Work Description: Convert overhead service drop to service lateral leaving existing service equipment as per City of Fort Collins
Light & Power.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible inspections Required: 201 206 301 103 302 300
TOTAL FEES PAID AS OF 12101/17: $228.97 Payment method: Check 063018
'* 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.
Print Name: I Date: /�/[)( //
Fonn Revised Oct 2010
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Site Address: 1201 N COLLEGE AVE
Job Valuation: $5,410.00 Category: Miscellaneous
Transactions
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1708095
Issued Full: 12/01/2017
Permit Type: Commercial Electrical
Method Check Number Date Paid
Amount Paid
Comments
Check CK# 053018 12/01/2017
$228.97
Gregory Electric paid with ck 053018
Receipt issued: 12/01/2017 Total Paid to Date:
$228.97
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Building Permit Fee Without 1000.422010
$107.25
$107.25
12/01/2017
Subs
City Sales/Use Tax 251.122030
$104.14
$104.14
12/01/2017
County Sales/Use Tax 100.217030
$17.58
$17.58
12/01/2017
TOTAL FEES:
$228.97 $228.97
TOTAL BALANCE DUE AS OF 12/01/2017:
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.