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Home My WebLink About4236 DURANGO PL - PERMITS - 3/24/2021Site Address: 4236 DURANGO PL Job Valuation: $1,200.00 Category: Residential Owner: MICHEL LORENZO JACOB 4236 DURANGO PL FORT COLLINS, CO 80526 Zoning: Front setback : Rear setback: Minor Amend#: ______ Plat File#: Community Development & Neig h borhood S ervices 281 N. College Ave Fort Collins, CO 80522 970.221 .6760 970.224.6134 -fax Building Permit#: 82102149 Issued Full: 03/24/2021 Permit Type: Residential Electrical Phone: 970-481-2427 Right setback: ____ _ Left setback: ZBA Case#: Zon ng district: RL -LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PUD: ________________ Filing#: Lot#: Block#: -------- Code: Res sq ft: Com sq ft: 0cc Group: Ind sq ft: Basement sq ft: _______ _ # of stories : Const Type: ____________________ _ Fire Sprklr: Stock plan#: ___ _ Stock plan options: _________________ _ Contractor: License#: Supervisor cert#: Phone: Subcontrac:or(s) Phone License Number Work Description: Install approx.45' circuit to new barrel sauna. Homeowner affidavit on file . 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 R equired: 201 206 301 103 302 300 TOTAL FEES PAID AS OF 03/24/21: $92.90 ** Fee Detail Displa;ed on Next Page Payment method: Credit Card 8046 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 con tained 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 . Signature: Print Name: Date: -------------------------------------Form Revised Oct 2010 City of k tColli~ Site Address: 4236 DURANGO PL Job Valuation: $1,200.00 Category: Residential Transactions Method Cred it Card Check Number CK# 8046 Date Paid 03/24/2021 Amount Paid $92.90 Receipt issued: 03/24/2021 Total Paid to Date: $92.90 Fee Description City Sales/Use Tax County Sales/Use Tax Permit Flat Fee -$65 Account Code 251 .122030 100.217030 1000.422010 TOTAL FEES: Fee Amount $23.10 $4 .80 $65.00 $92.90 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: 82102149 Issued Full: 03/24/2021 Permit Type: Residential Electrical Comments Amount Paid $23.10 $4.80 $65 .00 $92 .90 Date Paid 03/24/2021 03/24/2021 03/24/2021 Amount Due $0.00 $0.00 $0 .00 $0.00 TOT AL BALANCE DUE AS OF 03/24/2021: Fee Amounts are valid for date of this document only. Fees subject to change without notice. Fonn Revised Oct 2010 City of k!,Solli~ ELECTRICAL PERMIT APPLICATION Community Development and Neighborhood Services 281 N College 970-416-2740 Application# B 2\02 1 ~ C\ Fort Collins, CO 80524 buildingservices@fcgov.com Date Received ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address ::12 fi Address J-/2: f5 h ~ rCA 0 0 0,. c. ::<--City/State/Zip WC c, { L "'-5 ; C (J · '8ty:J;-Z. cb Property Ow~nformation M, _. ~) Name ~-)C" c: e:,\--::, 1 e_ Address \., 6 . A A , Phone Number _.9__.]_D_·_L{_._<;!-=-+--/_,,· 2=-1--.f-/-=7--___,_L ___ _ ,,. . City/State/Zip ___ "-_______ _ Q RESIDENTIAL @ Single Family Detached O Townhome (attached) 0 Duplex 0 Ap artment/Condo 0 Garage/Other 0 Bank O Bar O Church O Hotel/Motel O Medical Office O Office ORetail 0 Restaurant Value of Work .. CJ, \!,I Labor and Materials$ ~1_.1>-1=~~0~(~) ______ _ Scope of Work 1 --·· i O Panel change out 0 Meter change out 0 Upgrade exi sting wiring 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 _ __,_\----_\_o.,.,-....:.· --=e,,_,\___,_,v-J=-·:--''f_._t:--~ ..... C""'◊.,_\/\..........,Y\,-e,.,..=,.""-'-(_=f-+. --1{,...,D...._~S....-<->,a ......... .t ,.,._V'--'-=4~,~',.__ ______ _ l Service Upgrade O Yes ® No Existing Amps £ () A NewAmps '::1D A Additional Information (if applicable) ~ '-'.<:;~~l \ ~fY-&;x"' s~°"'--- Electrical Contracto::::ation Name ~ Ut,,.e Ow~ 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. ~-~~,~- ' ri N8.!!'e City of ~Colli~ Building Services PO Box 580 281 N Co llege Ave Fort Collins, CO 80524 970 -416 -2740 p hone 970-224-6134 fax HOMEOWNER AFFIDAVIT I , -er: C O 6 M .' <c L_.j , as owner of record of the property located at: ?/2 3 ~ Vi I~ 6 P/ ?u:>t' __ , Fort Collins, Colorado, hereby declare and attest to the following: (please check only the one that applies): OPTION 1: CONSTRUCTION OF NEW HOME □ I am acting on my behalf for the purpose of obtaining a building permit and personally constructing my home. The home to be constructed is on the above property and will be my primary residence. I have not personally constructed any other new homes in the Fort Collins ci:y limits within the past 24-month period. OPTION 2: PERMITTED WORK ON DETACHED SINGLE FAMILY HOME • I am acting on my behalf for the purpose of obtaining a building permit and personally constructing an alteration or addition to my house, acting as my own general contractor. The house to be altered is on the above property and is my personal prjmary residence. OPTION 3: PERMITED WORK ON ATTACHED SINGLE FAMILY DWELLING UNIT. □ I zm acting on my behalf for the purpose of obtaining a building permit and personally constructing a non- structural alteration to my attached single family dwelling unit. The house to be altered is my personal primary residence. I am aware that I cannot do any structural, electrical, plumbing or mechanical work and must hire contractors/subcontractors who are currently licensed and insured with the City of Fort Collins. I am personally performing all of the work or hiring City of Fort Collins licensed trades people , or will be continuously supervising l.Slpaid volunteers (see Option 3 for attached dwellings). The work is directly related to the construction of the above referenced home. I understand that any person(s) or agent(s) contracted to perform structural wood-framing , plumbing , HVAC, electrical or roofing work, MUST BE licensed contractors in accordance with the regulation of the City of Fort Collins. I understand ,hat failure to comply with any of the above conditions may result in revocation of any permits associated with the above Permit Application number, forfeiture of any fees that have been collected, a Stop Work Order and potentially a court summons. o er z oin~avit was acknowledged before me on this 2 l/ /:b. day of h, ZtJZ I (month, year) by Lar-ea "'2(J Jae ab fvlte,bt f Witness my hand and official seal My commissic-n expires: ---- COR INA HARTZOG Nota ry Public State of Colorado Notary ID# 20174008848 t!::::2 ~ NotaryPub" My Co mmi ss ion Expires 02-27 -202 5 Revised 10/19/2020