HomeMy WebLinkAbout1000 Meadowbrook Dr - Permits/Electrical - 04/10/2017Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1701848
Issued Full: 04110/2017
Permit Type: Electric Service Change
Site Address: 1000 MEADOWBROOK DR
Job Valuation: $1,000.00 Category: Residential Remodel
Owner: WARNER C R
1000 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/PUD:
Code: Res sq ft: 0 Com sq ft: _
# of stories: Occ Group: _
Fire Sprklr: Stock plan #: _
Contractor: GREGORY ELECTRIC, ,
3317 N. LINCOLfJ AVE '--
LOVELAND, CO. '80538
Subcontractor(s
Electrical: GREGORY ELECTRIC C h
Job Contact: GERALD J,P-ALASZEWSK0 J
Work Description: Service change on behalf of the City of
using existing service size.
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License M ME-404 Supervisor cert#:
Phone: 970-669-7609
License Number
❑ ME 0 —
CS
Power. Install per 2014 NEC. No increase,in amps -
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FNE EG
TOTAL FEES PAID AS OF 04/10/17: $47.50 Payment method: Check 2258
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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.
Signature: Print Name: 1 Z Date: 2��()
Form Revised Oct 2010
F�o�rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1701848
Issued Full: 04/10/2017
Permit Type: Electric Service Change
Site Address: 1000 MEADOWBROOK DR
Job Valuation: $1,000.00 Category: Residential Remodel
Transactions
Method Check Number Date Paid
Check CK#2258 04/10/2017
Receipt issued: 04/10/2017 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
Fee Amount
Amount Paid
$19.25
$19.25
$3.25
$3.25
$25.00
$25.00
Date Paid
Amount Due
04/10/2017
$0.00
04/10/2017
$0.00
04/10/2017
$0.00
TOTAL FEES: $47.60 $47.60 $0.00
TOTAL BALANCE DUE AS OF 04/10/2017: 0.00
t
Fee Amounts are valid for date of this document only. Fees subject to change without notice.