HomeMy WebLinkAbout618 S LOOMIS AVE - PERMITS - 10/26/2010City of
F6rt Collins
/**00� -
Site Address: 618 S LOOMIS AVE
Job Valuation: $2,779.89 Category: Residential
Owner: NORRIS, DELORIS D, TRUST
2326 SILVER OAKS DR
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970. 221.676o 970.224.6134 -fax
Phone: 222-6277
Building Permit #: B1006830
Issued Full: 10/26/2010
Permit Type: Residential Electrical
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: BENTON ELECTRIC, LLC
2013 LEXINGTON CT
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
License #: ME-1148
Basement sq ft:
Supervisor cart #:
FT COLLINS, CO, 80526Phone: 970-420-9039
Subcontractor(s) —' Phone License Number
I !
Work Description: UNAPPROVED DWELLING LIST FROM IN
ETC. APPROVED BY UTILITIESPER ELECTRICIAN.
BASEBOARD HEAT. SERVICE UPGRADE-,GFI-S,
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess ** jI
Inspections: UGE FNP FNM RE EG FNE
TOTAL FEES PAID AS OF 10/26/10: $91.32 Payment method: Credit Card
" 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: /" Date:
Form Revised Oct 2010
F6rtCollins
Site Address: 618 S LOOMIS AVE
Job Valuation: $2,779.89 Category: Residential
Method Check Number Date Paid Amount Paid
Credit Card 10/26/2010 $91.32
Receipt issued: 10/26/2010 Total Paid to Date: $91.32
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $38.50
Subs
City Sales/Use Tax 251.122030 $41.70
County Sales/Use Tax 100.217030 $11.12
TOTAL FEES: $91.32
Community Development & Neighborhood Services
281 N..College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1006830
Issued Full: 10/26/2010
Permit Type: Residential Electrical
Comments
NATE BENTON CC
Amount Paid Date Paid Amount Due
$38.50 10/26/2010 $0.00
$41.70 10/26/2010
$11.12 10/26/2010
$91.32
$0.00
$0.00
$0.00
E DUE AS- FF 10/26/2010: 12.00
I�
�C_
Fee Amounts are valid for date of this document only. Fees subject to change without notice.