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HomeMy WebLinkAbout3201 Meadowlark Ave - Permits/Electrical - 04/12/2018City of F6rt Collins Site Address: 3201 MEADOWLARK AVE Job Valuation: $3,366.00 Category: Residential Owner: MACKEY MAX S 3201 MEADOWLARK AVE FORT COLLINS, CO 80526-2844 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Phone: Building Permit #: B1802576 Issued Full: 04/12/2018 Permit Type: Residential Electrical 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: Filing #: Lot #: Block #: Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft: # of stories: Occ Group: Fire Sprklr: Stock plan #: Contractor: GALLAHAN ELECTRIC, LLC 1857 MAINSAIL DR FORT COLLINS, CO 80524 Const Type: _ Stock plan options: License #: ME-929 Phone: 970-221-4091 Subcontractor(s) Phone Electrical: GALLAHAN ELECTRIC,-LLC. 970-221-4091 Work Description: Replace outdated panel. Replace fire damaged wiring on second floor. Supervisor cert#: License Number ME-929 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 04/12/18: $160.81 Payment method: Credit Card 9731 " Fee Detail Displayed on Next Page As a condition for the issuance of a permit, I hereby declare 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: Print Name/ 4a �4 C edit Date: _"7 Form 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 #: B1802576 Issued Full: 04/12/2018 Permit Type: Residential Electrical Site Address: 3201 MEADOWLARK AVE Job Valuation: $3,366.00 Category: Residential Transactions Method Check Number pate Paid Amount Paid Comments Credit Card CK # 9731 04/12/2018 $160.81 Receipt issued: 04/12/2018 Total Paid to Date: $160.81 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Building Permit Fee Without 1000.422010 $86.75 $86.75 04/12/2018 $0.00 Subs City Sales/Use Tax 251.122030 $64.80 $64.80 04/12/2018 $0.00 County Sales/Use Tax 100.217030 $9.26 $9.26 04/12/2018 $0.00 TOTAL FEES: $160.81 $160.81 $0.00 TOTAL BALANCE DUE AS OF 04/1212018: 0. 00 Z Fee Amounts are valid for date of this document only. Fees subject to change without notice.