HomeMy WebLinkAbout2302 LODGEPOLE CREEK DR - PERMITS - 2/9/2021Owner:TESDAHL CURTIS/LISA
2302 LODGEPOLE CREEK DR
FORT COLLINS, CO 80528-3136
Phone: 970-443-1947
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:LMN - LOW DENSITY MIXED-USE NEIGHBORHOOD DISTRICT
Legal:Subdivision/PUD:Filing #:Lot #:3 Block #:3
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:NAMASTE SOLAR ELECTRIC INC
6707 WINCHESTER CIRCLE#700
BOULDER, CO 80301
License #:ME-1415
Phone: 303-447-0300
Supervisor cert #:
Subcontractor(s)Phone License Number
Electrical:NAMASTE SOLAR ELECTRIC INC 303-447-0300 ME-1415
Work Description:
Installation of EV electrical charger.
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 02/09/21:$134.75 Payment method:Credit Card 8339
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror owner's agent, authorized to perform the proposed workonthe property describedherein.
I agree to comply with all the requirements contained herein, and City ordinances, and State lawsassociated with suchwork. I understand that suchpermit may be
revoked in the event that issuance was basedonincorrect information. This permit shall becomenull and void if the workauthorized by suchpermit is not commenced,
suspended, abandoned or not inspected within 180 daysfromthe 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 #:B2100997
Issued Full:02/09/2021
Permit Type:Residential Electrical
Site Address:2302 LODGEPOLE CREEK DR
Job Valuation:$3,000.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK # 8339 02/09/2021 $134.75
Receipt issued:02/09/2021 Total Paid to Date:
$134.75
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $57.75 $57.75 02/09/2021 $0.00
County Sales/Use Tax 100.217030 $12.00 $12.00 02/09/2021 $0.00
Permit Flat Fee - $65 1000.422010 $65.00 $65.00 02/09/2021 $0.00
TOTAL FEES:$134.75 $134.75 $0.00
TOTAL BALANCE DUE AS OF 02/09/2021:$0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #:B2100997
Issued Full:02/09/2021
Permit Type:Residential Electrical
Site Address:2302 LODGEPOLE CREEK DR
Job Valuation:$3,000.00 Category:Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524
970-416-2740
buildingservices@fcgov.com
ELECTRICAL PERMIT APPLICATION
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address
Address ________________________________________________________________ City/State/Zip _________________________
Property Owner Information
Name ______________________________________________________Phone Number _____________________________________
Address ________________________________________________________________ City/State/Zip _________________________
RESIDENTIAL Single Family Detached Townhome (attached) Duplex Apartment/Condo Garage/Other
COMMERCIAL Bank Bar Church Hotel/Motel Medical Office Office Retail Restaurant
Value of Work
Labor and Materials $ ________________________________
Scope of Work
Panel change out Meter change out Upgrade existing wiring
Panel Upgrade (May require additional review time. A commercial panel upgrade of 225A or 3 phase requires a 1 line diagram.)
Other electrical alterations _________________________________________________________________________________
Service Upgrade Yes No
Existing Amps _________________________________
New Amps ____________________________________
Additional Information
(if applicable)
Electrical Contractor Information
Name ________________________________________________________________________________________________________
Address ________________________________________________________________ City/State/Zip _________________________
Phone Number ____________________________________ Email ______________________________________________________
License Number ME- _______________________________
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.
Print Name Signature Date
Application # _____________________________
Date Received ___________________________
2302 Lodgepole Creek Dr Fort Collins, CO 80528
Curtis Tesdahl 970-443-1947
2302 Lodgepole Creek Dr Fort Collins CO 80528
3000
Installation of an EV electrical charger
Namaste Solar Electric
6707 Winchester cir #700 Boulder CO 80301
303-447-0300 ext 451 residentialpm@namastesolar.com
1164
Avery Carter 2/9/2021