HomeMy WebLinkAbout2500 E HARMONY RD - PERMITS - 12/23/2020 (2)Owner:MATT CLARK
2500 E HARMONY RD 72
FORT COLLINS,CO 80525 Phone:860-428-4634
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:MULTI
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:JMP HEAT INC DBA LION HOME SERVICE
4600 Innovation Dr,Suite 102
Fort Collins,CO 80525
License #:ME-1651
Phone:970-399-9940
Supervisor cert #:
Subcontractor(s)Phone License Number
Electrical:JMP HEAT INC DBA LION HOME 970-399-9940 ME-1651
Work Description:Replacement of disconnect that is melted and charged.
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 12/23/20:$65.38 Payment method:Trust Account
**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 #:B2013760
Issued Full:12/23/2020
Permit Type:Residential Electrical
Site Address:2500 E HARMONY RD,72
Job Valuation:$1,027.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 12/23/2020 $65.38
Receipt issued:12/23/2020 Total Paid to Date:$65.38
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without
Subs
1000.422010 $41.50 $41.50 12/23/2020 $0.00
City Sales/Use Tax 251.122030 $19.77 $19.77 12/23/2020 $0.00
County Sales/Use Tax 100.217030 $4.11 $4.11 12/23/2020 $0.00
TOTAL FEES:$65.38 $65.38 $0.00
TOTAL BALANCE DUE AS OF 12/23/2020:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2013760
Issued Full:12/23/2020
Permit Type:Residential Electrical
Site Address:2500 E HARMONY RD,72
Job Valuation:$1,027.00 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
City of k_:Soll� ELECTRICAL PERMIT APPLICATION
Community Development and Neighborhood Services 281 N College 970-416-27 40 Application# _________ _
Fort Collins, CO 80524 buildingservices@fcgov.com Date Received ---------
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Addr�ss . 00 5 J 5Address a 5 Q) � L \tG1 y m O Y) � �t7\ =tt 7 d Ft. VO V\11 n s . (IO City/State/Zip-------
Property Owner Information
Name ty\O\,tt V \ £vY \l-_____ Phone Number _g�\p�(/)�0-�-�--e,_4_lP_?J_Lf�---
Address a� 00 � 0 \-\; (,W YY1 OY\ Y'.l � 411 d" Fto (A) \MY) s J Ct BQ)5�S City/State/Zip _________ _� /
.---Single Family Detached Q Townhome (attached) Q Duplex 0 Apartment/Condo 0 Garage/Other
Value of Work
0 Bank O Bar O Church O Hotel/Motel Q Medical Office O Office
Labor and Materials$ _\_(lJ_]J Q OJ.-��------
Scope of Work
I O Panel change out 0 Meter change out 0 Upgrade existing wiring
QRetall 0 Restaurant
0 Panel Upgrade (May require additional review time. A commercial panel upgrade of 225A or 3 phase requires a 1 line diagram.)
0 Other electrical alterations -------------------------------
Service Upgrade O Yes O No
Additional Information (if applicable)
Existing Amps _____________ _
New Amps _____________ _
0\J�OM1�Ct °ll rrllc,\tft<A le,"' tnq<io\, Y'\lt'i�l
'(� � \�C'i� .\\'V\W\�Mv1 tlil� -\{DO � �'iG.
Electrical Contractor Information Name .lY'A� t\\M W\ C '{)�Pr \AOYl ffi'{Y\'1, � 16Y V\ c�_J (,\\A \ �tfAn\tt �--·----
Address _!:1_\.Q (J) 0 \ �VM:i Oh: Dr 1f \(1) '} ft O (/0 \IV\ \I s City/State/Zip (A) ?lP 5 a:.s
Phone Number q 1(� 0 :1JO) q O gOJy (l} Email �fil_{?�On\tlOmU!'l'Yvi ce • (.-Otl1 ___ _
License Number ME-J-'\D'--5�\ ________ _
I hereby acknowledge that I have read t�·1s application and state that the above information 1s complete and correct. I agree to comply with all requirements contained herein 9nd city ordinances and state laws regulating building construction I know that a permit is notvalid until it has been paid and issue�.
B2013760
12/22/2020