HomeMy WebLinkAbout5403 CINQUEFOIL LN - PERMITS - 2/17/2021Owner:ZADKOVIC JOSEPH A/KAREN G
5403 CINQUEFOIL LN
FORT COLLINS,CO 80528 Phone:970-378-0022
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 #:171 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:FREEDOM SOLAR,LLC
2300 E.76th Ave.,Ste.D400
Denver,CO 80229
License #:ME-1756
Phone:908-872-0798
Supervisor cert #:
Subcontractor(s)Phone License Number
Electrical:FREEDOM SOLAR,LLC 908-872-0798 ME-1756
Work Description:Install EV charger,backup loads panel and gateway for solar project on B2101001.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 02/17/21:$297.50 Payment method:Credit Card 6027
**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 #:B2101222
Issued Full:02/17/2021
Permit Type:Residential Electrical
Site Address:5403 CINQUEFOIL LN
Job Valuation:$10,000.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #6027 02/17/2021 $297.50
Receipt issued:02/17/2021 Total Paid to Date:$297.50
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $192.50 $192.50 02/17/2021 $0.00
County Sales/Use Tax 100.217030 $40.00 $40.00 02/17/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 02/17/2021 $0.00
TOTAL FEES:$297.50 $297.50 $0.00
TOTAL BALANCE DUE AS OF 02/17/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2101222
Issued Full:02/17/2021
Permit Type:Residential Electrical
Site Address:5403 CINQUEFOIL LN
Job Valuation:$10,000.00 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1.Job site address:
5403 Cinquefoil Lane
2.Property owner name:
Joseph Zadkovic
3.Property owner address:
Street Address: : 5403 Cinquefoil Lane
City: : Fort Collins
State: : CO
Zip: : 80528
4.Property owner phone number:
(970) 378-0022
5.Project type:
Residential
6.What type of residential?
Single Family Detached
7.Value of work (Labor and Materials)($):
10000
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:
Other electrical alterations:: Install EV charger, backup loads panel and gateway for solar project
11.Service upgrade:
No
12.Contractor name:
Freedom Solar
13.Contractor address:
2300 East 76th Ave D400 Denver CO 80229
14.Contractor phone number:
7205467150
B2101222
2/16/2021
1 5. Contrac tor email:
tommi@free domsol arpo w er.com
1 6. Lic ense number ME-
1 756
1 7. Additional infor mation if a pplicable:
Solar project is B21 01001
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: To mmi Whittenb urg
Date Signed:
0 2/15 /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.
tommi@free domsolarpow er.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.