HomeMy WebLinkAbout634 S Grant Ave - Permits/Electrical - 01/13/2020%+I L r Will 281 N. College Ave Fort Collins, CO 80522
Fort Collins 970.221.676o 970.224.6134 -fax
Building Permit #: B2000376
Issued Full: 01/13/2020
Permit Type: Residential Electrical
Site Address: 634 S GRANT AVE
Job Valuation: $700.00 Category: Residential
Owner: 634 SOUTH GRANT AVENUE LLC
2431 23RD ST
BOULDER, CO 80304-3703
Phone: 970-391-9400
Zoning: Frontsetback: Rear setback:
Right setback: Left setback:
Minor Amend #: Plat File #:
ZBA Case #:
Zoning district: NCM -NEIGHBORHOOD CONSERVATION -MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft:
Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Const Type:
Fire Sprklr: Stock plan M
Stock plan options:
Contractor: SCHWARTZ ELECTRIC
License M ME-991 Supervisor cert#:
506 DIAMOND DR' ,-
FORT COLLINS, CO 80525
Phone: 970-391-9400
Subcontractor(s)_ _-I
- Phone ! License Number
Electrical: SCHWARTZ ELECTRIC _ r
970-391'--9400 I I j r_ ; _ ME-991
Installation 50A breaker wall con nectorfo
I ctric vehidle charging station.
Work Description: of a
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible inspections Required: 201 206 301 103 302 300
TOTAL FEES PAID AS OF 01113/20: $46.77 Payment method: Credit Card 2239
" 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.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
e--
Signature: r 'Y/ Print Name:
Date: " -
Form Revised Oct 2010
F6rt Collins
Site Address: 634 S GRANT AVE
Job Valuation: $700.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card CK# 2239 01/13/2020 $46.77
Receipt issued: 01/13/2020 Total Paid to Date: $46.77
Fee Description
Building Permit Fee Without
Subs
City Sales/Use Tax
County Sales/Use Tax
--------------
Account Code
1000.422010
251.122030
100.217030
TOTAL FEES:
Fee Amount
$30.50
$13.47
$2.80
$46.77
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit #: B2000376
Issued Full: 01/13/2020
Permit Type: Residential Electrical
Comments
Amount Paid Date Paid Amount Due
$30.50 01/13/2020 $0.00
$13.47 01/13/2020 $0.00
$2.80 01/13/2020 $0.00
$46.77
$0.00
TOTAL BALANCE DUE AS -OF 01/13/2020: 0.00
Li
Fee Amounts are valid for date of this document only. Fees subject to change without notice.