HomeMy WebLinkAbout412 WOOD ST - PERMITS - 1/22/2021Owner:REISER DIANE M
412 WOOD ST
FORT COLLINS,CO 80521-1951 Phone:970-420-8725
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:CHADWICK ELECTRIC SERVICES
PO BOX 538
Windsor,CO 80550
License #:ME-1411
Phone:970-482-9449
Supervisor cert #:
Subcontractor(s)Phone License Number
Electrical:CHADWICK ELECTRIC SERVICES 970-482-9449 ME-1411
Work Description:Panel and meter changeout,no service upgrade.
SCHEDULE INSPECTIONS:**via Text Message:888-406-6394 **By Phone:970-221-6769
**Online Portal:fcgov.com/CitizenAccess **Online Portal via Mobile Device:fcgov.com/CitizenAccess/mobile
Possible Inspections Required:201 206 301 103 302 300
TOTAL FEES PAID AS OF 01/22/21:$139.40 Payment method:Credit Card 9838
**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.
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2100521
Issued Full:01/22/2021
Permit Type:Residential Electrical
Site Address:412 WOOD ST
Job Valuation:$3,200.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #9838 01/22/2021 $139.40
Receipt issued:01/22/2021 Total Paid to Date:$139.40
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $61.60 $61.60 01/22/2021 $0.00
County Sales/Use Tax 100.217030 $12.80 $12.80 01/22/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 01/22/2021 $0.00
TOTAL FEES:$139.40 $139.40 $0.00
TOTAL BALANCE DUE AS OF 01/22/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2100521
Issued Full:01/22/2021
Permit Type:Residential Electrical
Site Address:412 WOOD ST
Job Valuation:$3,200.00 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1. Job site address:
412 wood st
2. Property owner name:
Diane reiser
3. Property owner address:
Street Address: : 412 wood st
City: : Fort collins
State: : Co
Zip: : 80521
4. Property owner phone number:
9704208725
5. Project type:
Residential
6. What type of residential?
Single Family Detached
7. Value of work (Labor and Materials)($):
3200
8. Type of permit:
Electrical
Please note: each individual lot requires a separate application and permit.
Please note: each individual appliance requires a separate application and permit.
10. Scope of work:
Panel change out
Meter change out
11. Service upgrade:
No
12. Contractor name:
Chadwick Electric Services
13. Contractor address:
623 Camberly Ct
14. Contractor phone number:
9704829449
15. Contractor email:
tad@chadwickservices.com
16. License number ME-
6855
3. Review
B2100521
1/22/2021
18. I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to comply with all
requirements contained herein and city ordinances and state laws regulating building construction. I know that a permit is not valid until it has
been paid and issued.
Signature of: Tad Chadwick
Date Signed:
01/22/2021
19. Please include an email address to receive a confirmation and a copy of your answers.
tad@chadwickservices.com
4. Thank You!
Thank you for submitting your application for processing.
To submit another over the counter application, click here.