HomeMy WebLinkAbout4916 CHIPPENDALE DR - PERMITS - 1/29/2016F6rt Collins
Site Address: 4916 CHIPPENDALE DR
Job Valuation: $6,000.00 Category: Residential
Community Development & Neighborhood. Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6184 -fax
Building Permit #: B1600496
Issued Full: 01/29/2016
Permit Type: Residential Electrical
Owner: LINDECKER HOWARD J/KATHERYN E
4916 CHIPPENDALE DR
FORT COLLINS 80526-3814 Phone: 217-273-2058
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File M ZBA Case #:
Zoning district: UE - URBAN ESTATE 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: ASSOCIATES IN BLDG & DSGN License #: C1-195
4803 INNOVATION DR#1
FORT COLLINS, CO 80525 Phone: 970-225-2323
Work Description: Installing can lighting and replacing electrical fixtures..No-change in service.
Supervisor cert#: 626-Cl
I SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: RE EG FNE UGE FNM FNP
TOTAL FEES PAID AS OF 01/29/16: $242.25 Payment method: Check 43464
*` 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: t Name: l
Forrn Revised Oct 2010
,:art` Collins
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6154 -fax
Building Permit #: B1600496
Issued Full: 01/29/2016
Permit Type: Residential Electrical
Site Address: 4916 CHIPPENDALE DR
Job Valuation: $6,000.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK#43464 01/29/2016 $242.25 ASSOCIATES IN BUILDING & DESIGN, LTD paid with
check# 43464
Receipt issued: 01/29/2016 Total Paid to Date: $242.25
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without 1000.422010 $107.25 $107.25 01/29/2016 $0.00
Subs
City Sales/Use Tax 251.122030 $115.50 $115.50 01/29/2016 $0.00
County Sales/Use Tax 100.217030 $19.50 $19.50 01/29/2016 $0.00
TOTAL FEES: $242.26 $242.26 $0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form