HomeMy WebLinkAbout1004 Meadowbrook Dr - Permits/Electrical - 03/27/20176rFt Collins
Site Address: 1004 MEADOWBROOK DR
Job Valuation: $1,000.00 Category: Residential
Owner: HUSBY BENJAMIN HOWARD/LISAANNE
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1701545
Issued Full: 03/27/2017
Permit Type: Residential Electrical
1004 MEADOWBROOK DR
FORT COLLINS, CO 80521 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:
Code: Res sq ft:
# of stories
Fire Sprklr:
Com sq ft:
Occ Group:
Stock plan #:
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
Contractor: GREGORY ELECTRIC , License #: ME404 Supervisor cert M
3317 N. LINCOLN'AVE �U
LOVELAND, CO 80538 / / 1 J Phone: 970-669-7609
Subcontractor(sPhone
Electrical: GREGORY ELECTRIC 970 66
O
Work Description: Service change,on behalf of the City of Fort'Collins Light-anc
e '
9 7609 ❑
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Power.
License Number
ME-404—
00
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
Insoections: RE EG FNE UGE FNM FNP
TOTAL FEES PAID AS OF 03/27/17: $61.25 Payment method: Check 2254
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 amply 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: WPrint Name: �` 1 Z Date:
Forth evised Oct 2010
Cp}" O Community Deuelopment&Neighborhood Seruices
Fort Collins 2&N. CollegeAue FortCollins, CO8o522
970.22�.6760 9�0.224.6i34 -fax
Building Permit#: 61701545
Issued Full: 03/27/2017
Permit Type: Residential Electrical
Site Address: 1004 MEADOWBROOK DR
Job Valuation: 1 000.00 Category: Residential
Transactions
�� Check Num6er Date Paid Amount Paid Comments
Check CK#2254 03/27/2017 $61.25 Gregory Electric,Inc. paid by CK#2254
Receipt issued: 03/27/2017 Total Paid to Date: 56�.25
Fee Descriation Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without 1000.422010 $38.75 $38.75 03/27/2017 $0.00
Subs
City Sales/Use Tax 251.122030 $19.25 $19.25 03/27/2017 $0.00
County Sales/Use Tax 100.217030 $3.25 $3.25 03/27/2017 $0.00
TOTAL FEES: $61.25 $61.25 $0.00
I !�� n I(I
�J � �TOTAL BALANCE DUE AS_OF 03/27/2017: 0.00
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Fee Amounts are valid for date of this document only.Fees subject to change without notice.