HomeMy WebLinkAbout623 LAPORTE AVE - PERMITS - 12/14/2010City of
F6rt Collins
Site Address: 623 LAPORTE AVE
Job Valuation: $400.00 Category: Residential
Owner: SECOR, EDMUND C, III
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1007906
Issued Full: 12/14/2010
Permit Type: Residential Electrical
621 LAPORTE AVE
FORT COLLINS, CO 80521 Phone:
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: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: MCKUSKER ELECTRIC INC License #: ME-1222 Supervisor cert#:
115 HUNTERS COVE RD�-'
MEAD, CO 80542 Phone:
Subcontractoi4s) '' Poe License Number
Work Description: INSTALL,NEW ELECTRICAL CIRCUIT. NOT AN -UPGRADE �.
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess **
Inspections: UGE FNP FNM RE EG FNE
TOTAL FEES PAID AS OF 12/14/10: $22.60 Payment method: Check 13935
** 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 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: r4' Print Name: Sa�r 1 G2 (*'jiN � Date: / VZ� ' o
Form Revised Oct 2010
F6rt Collins
Community Development & Neighborhood Services
281 NSF College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1007906
Issued Full: 12/14/2010
Permit. Type: Residential Electrical
Site Address: 623 LAPORTE AVE
Job Valuation: $400.00 Category: Residential
Transactions
Method Check Number Date Paid
Check CK # 13935 12/14/2010
Receipt issued: 12/14/2010 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
Amount Paid Comments
$22.60 MCKUSKER ELECTRIC CK#13935
$22.60
Fee Amount Amount Paid Date Paid Amount Due
$15.00 $15.00 12/14/2010 $0.00
$6.00 $6.00 12/14/2010
$1.60 $1.60 12/14/2010
TOTAL. FEES: $22.60
T(
C
f
$22.60
$0.00
$0.00
$0.00
E DUE AS -OF 19.00
3
0"/
Fee Amounts are valid for date of this document only. Fees subject to change without notice.