HomeMy WebLinkAbout411 PEARL ST - PERMITS - 1/25/2021Owner:FIELDHACK JEFFREY J/JENNIFER A
411 PEARL ST
FORT COLLINS,CO 80521-1741 Phone:858-603-2703
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:NCL -NEIGHBORHOOD CONSERVATION -LOW 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:BRIAN'S ELECTRIC CO LLC
1410 WEBSTER AVE
FORT COLLINS,CO 80524
License #:ME-131
Phone:970-484-5085
Supervisor cert #:
Subcontractor(s)Phone License Number
Electrical:BRIAN'S ELECTRIC CO LLC 970-484-5085 ME-131
Work Description:Panel upgrade and adding 240 receptacle for hot tub.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 01/25/21:$95.69 Payment method:Credit Card 0694
**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 #:B2100586
Issued Full:01/25/2021
Permit Type:Residential Electrical
Site Address:411 PEARL ST
Job Valuation:$1,320.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #0694 01/25/2020 $95.69
Receipt issued:01/25/2021 Total Paid to Date:$95.69
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $25.41 $25.41 01/25/2020 $0.00
County Sales/Use Tax 100.217030 $5.28 $5.28 01/25/2020 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 01/25/2020 $0.00
TOTAL FEES:$95.69 $95.69 $0.00
TOTAL BALANCE DUE AS OF 01/25/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2100586
Issued Full:01/25/2021
Permit Type:Residential Electrical
Site Address:411 PEARL ST
Job Valuation:$1,320.00 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1.Job site address:
411 Pearl Street, Fort Collins 80521
2.Property owner name:
Jeff Fieldhack
3.Property owner address:
Street Address: : 411 Pearl Street
City: : Fort Collins
State: : CO
Zip: : 80521
4.Property owner phone number:
18586032703
5.Project type:
Residential
6.What type of residential?
Single Family Detached
7.Value of work (Labor and Materials)($):
1,320
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 upgrade (May require additional review time. A commercial panel upgrade of 225A or 3 phase requires a 1 line
diagram).
Other electrical alterations:: adding 240 for a hot tub
11.Service upgrade:
No
12.Contractor name:
Brian's Electric
13.Contractor address:
1410 Webster Ave, Fort Collins 80524
14.Contractor phone number:
970-484-5085
B2100586
1/25/2021
1 5. Contrac tor email:
terry@brianselectric-inc.co m
1 6. Lic ense number ME-
ME-131
3. Review
1 8. I hereby a cknowledge tha t I have read this a pplication and s tate that the abov e informa tion is comple te and
c orrect. I agr ee to comply with a ll requirements containe d herein and c ity or dinance s and state laws regulating
building construction. I know that a perm it is not valid until it has be en paid and issue d.
Signa tu re of: j fie ld hack
Date Signed:
0 1/25 /2 021
1 9. Please include an e m ail addre ss to receive a c onfirma tion and a c opy of your a nswers.
jfieldhack@g mai l.com
4. Thank You!
Thank you for submitting your a pplication for pr ocess ing.
To submit a nother over the counte r a pplica tion, click here.