HomeMy WebLinkAbout616 LOCUST ST - PERMITS - 2/11/2021Owner:LEBEDDA JAMES D
PO BOX 113
CHADDS FORD, PA 19317-0113
Phone: 970-799-9991
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:0 Com sq ft:Ind sq ft:Basement sq ft:
# of stories:Occ Group:Const Type:
Fire Sprklr:Stock plan #:Stock plan options:
Contractor:WINTERHAWK ELECTRIC LLC
2601 S Lemay Ave Ste 7 #431
Fort Collins, CO 80525
License #:ME-1435
Phone: 303-359-0066
Supervisor cert #:
Subcontractor(s)Phone License Number
Electrical:WINTERHAWK ELECTRIC LLC 303-359-0066 ME-1435
Work Description:
Upgrade service from 80 to 100amps. Work to include the upgrade of existing wiring in the downstairs level of
the house.
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: 301 206
TOTAL FEES PAID AS OF 02/11/21:$181.25 Payment method:Credit Card 5353
** 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.
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #:B2101116
Issued Full:02/11/2021
Permit Type:Electric Service Change
Site Address: 616 LOCUST ST
Job Valuation:$5,000.00 Category:Residential Remodel
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK # 5353 02/11/2021 $181.25
Receipt issued:02/11/2021 Total Paid to Date:
$181.25
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $96.25 $96.25 02/11/2021 $0.00
County Sales/Use Tax 100.217030 $20.00 $20.00 02/11/2021 $0.00
Permit Flat Fee - $65 1000.422010 $65.00 $65.00 02/11/2021 $0.00
TOTAL FEES:$181.25 $181.25 $0.00
TOTAL BALANCE DUE AS OF 02/11/2021:$0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #:B2101116
Issued Full:02/11/2021
Permit Type:Electric Service Change
Site Address: 616 LOCUST ST
Job Valuation:$5,000.00 Category:Residential Remodel
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
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 ___________________________
616 Locust St Fort Collins, CO 80524
Rich Lebedda 970-799-9991
616 Locust St Fort Collins, CO 80524
x x
Value of Work
Labor and Materials $ _________________________
Scope of Work
xx
Winterhawk Electric
2601 S. Lemay Ave, Ste 7-431 Fort Collins, CO 80525
970-460-6550 jenny@winterhawkelectric.com
0100585
Jennifer Vazquez 2/11/21
$5000
x
x
80
100
Downstairs of house only for upgrade on existing wiring**