HomeMy WebLinkAbout2612 Belgian Ct - Permits/Electrical - 03/13/2017City of
F6rt Collins
Site Address: 2612 BELGIAN CT
Job Valuation: $100.00 Category: Residential
Owner: HANSON ERIC
2612 BELGIAN CT
FORT COLLINS, CO 80526-1156
Zoning: Front setback: Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1701255
Issued Full: 03/13/2017
Permit Type: Residential Electrical
Phone:28-651-9909
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Contractor:
Com sq ft:
Occ Group:
Stock plan #:
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #:
Phone:
Basement sq ft:
Subcontractors) Phone
IF
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Work Description: Change out electrical panel fromA25 A,to"200 A Homeoi; a ffa Ir Ova it on file.
Supervisor cart #:
License Number
SCHEDULE INSPECTIONS: ••* By Phone: 970-221-6769 ""' By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: hftp://www.fcgov.com/CitizenAccess/mobile
Ins ections: RE EG FNE UGE FNM FNP '.: :
TOTAL FEES PAID AS OF 03/13/17: $27.25 Payment method: Credit Card 7259
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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: Gr �-.�� Print Name: i c ��i/��tSd t� Date: 3 / 3 /
Fo Revised Oct 2010
of
City Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134-fax
Building Permit #: B1701255
Issued Full: 03/13/2017
Permit Type: Residential Electrical
Site Address: 2612 BELGIAN CT
Job Valuation: $100.00 Category: Residential
Transactions
Credit Card CK # 7259 03/13/2017
Receipt issued: 03/13/2017 Total Paid to Date
Fee Description Account Code
Building Permit Fee Without 1000.422010
Subs
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
TOTAL FEES:
vo'N�JJi, )1! 1
Amount Paid
$27.25
$27.25
Fee Amount Amount Paid Date Paid
$25.00 $25.00 03/13/2017
$1.93 $1.93 03/13/2017
$0.32 $0.32 03/13/2017
$27.25 $27.26
Amount Due
$0.00
$0.00
$0.00
$0.00
DUE AS OF 03/13/2017: 0.00
i
Fee Amounts are valid for date of this document only. Fees subject to change without notice