HomeMy WebLinkAbout614 E VINE DR - PERMITS - 4/28/2016cO� Community Development & Neighborhood Services
j r 281 N. College Ave Fort Collins, CO 80,522
6rt Collins 970.221.6760 970.224.6154 -fax
Building Permit #: B1602250
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Issued Full: 04/28/2016
j Permit Type: Commercial Electrical
Site Address: 614 E VINE DR
Job Valuation: $5,000.00 Category: Office, Fin Svc <5000
Owner: OF LARIMER COUNTY
{ PO BOX 1190
' FORT COLLINS, CO 80522-1190 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #.-
Zoning district: I - INDUSTRIAL DISTRICT
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i Legal: Subdivision/PUD: Filing #: Lot #: Block #:
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Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
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Contractor: MERIT ELECTRIC, INC. License #: ME-195 Supervisor cert#:
I 2643 MIDPOINT DR SUITE F
FORT COLLINS, CO 80525 Phone: 970-266-8100
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Subcontractor(s) Phone License Number
I Electrical: MERIT ELECTRIC, INC. 970-266-8100 .... ME-195...
Job Contact: ROYCE GLADER 970-266-8100
Work Description: Install 100AMP 120/240 volt service from an existing panel to a new mobile office unit. Install per 2014 NEC.
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 04/28/16: $209.50 Payment method: Check 8857
** 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 properly 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: -Date: y��6
Form Revised Oct 2010
City ot
F6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1602250
Issued Full: 04/28/2016
Permit T e• Com I EI t ' I
I yp mercia ec rica
H Site Address: 614 E VINE DR
Job Valuation: $5,000.00 Category: Office, Fin Svc <5000
Transactions
�. Method Check Number Date Paid Amount Paid Comments
i i Check CK# 8857 04/28/2016 $209.50 Merit Electric, Inc. CC
j Receipt issued: 04/28/2016 Total Paid to Date: $209.50
Fee Description Account Code Fee Amount Amount Paid
�I Building Permit Fee Without 1000.422010 $97.00 $97.00
.j Subs
I'..I City Sales/Use Tax 251.122030 $96.25 $96.25
I County Sales/Use Tax 100.217030 $16.25 $16.25
TOTAL FEES:
$209.50 $209.60
Date Paid
04/28/2016
04/28/2016
04/28/2016
Amount Due
.$0.00
$0.00
$0.00
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.