HomeMy WebLinkAbout4300 GOLDENEYE DR - PERMITS - 4/21/2021Site Address: 4300 GOLDENEYE DR
Community Development & Neighborhood Services
281 N. College Ave Fort Co llins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82102919
Issued Full: 04/21/2021
Permit Type: Electric Service Change
Job Valuation: $2,000.00 Category: Residential Remodel
Owner: DAVIS WILLIAMS/CIOFFI MARYANNE
4300 GOLDENEYE DR
FORT COLLINS , CO 80526
Zoning: Front setback: Rear setback:
Phone: 970-776-6404
Right setback: ____ _ Left setback:
Minor Amend#: ______ Plat File#: _____ ZBA Case#:
Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: ________________ Filing#: Lot#: Block#: --------
Code: Res sq ft: O Com sq ft:
# of stories . ____ 0cc Group:
Fire Sprklr: ____ Stock plan #: ___ _
Contractor: LAMB ELECTRIC, LLC
2220 Franklin Road
Fort Collins, CO 80524
Subcontractor(s)
Electrical LAMB ELECTRIC, LLC
Ind sq ft: ______ Basement sq ft: _______ _
Const Type : ---------------------Stock plan options: _________________ _
License #: ME-1340 Supervisor cert#:
Phone: 970-493-8628
Phone
970-493-8628
License Number
ME-1340
Work Description: Upgrade existing service from 100 to 150 amps with a panel change out and meter change.
SCHEDULE INSPECTIONS : ** via Text Message: 888-406-6394 ** By Phone: 970-221 -6769
** Online Portal : fcgov.com/Cit izenAccess ** Online Portal via Mobile Device : fc~ov.com/Citi ze nAccess/mobile
Possible Inspections Required : 301 206
TOTAL FEES PAID AS OF 04/21 /21: $111.50
.. Fee Detail Displayed on Next Page
Payment method: Check 2404
As a condition for the issuance of a permit, I hereby dedare that I am the owner or owne~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 perm it 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 sucn permt
Signature: Print Name: Date: ------------------------------------Form Revised Oct 201 O
City of
k':tColli~
Site Address: 4300 GOLDENEYE DR
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82102919
Issued Full: 04/21/2021
Pe rmit Type : Electric Service Change
Job Valu ation: $2,000.00 Category: Residential Remodel
Transactions
Method Qhei;;ts t!!!uwt!ec Qate eaid
Check CK# 2404 04/21/2021
Receipt issued: 04/21/2021 Total Paid to Date :
Fee Descri~tion Account Code
City Sa les/Use Tax 251 .122030
County Sales/Use Tax 100.217030
Permit Flat Fee -$65 1000.422010
TOTAL FEES:
Amouat es1ii;! cowmeatl:!
$111.50
$111.50
Fee Amount Amount Paid Date Paid
$38.50 $38.50 04/21/2021
$8.00 $8 .00 04/21/2021
$65.00 $65.00 04/21/2021
$111.50 $111.50
TOTAL BALANCE DUE AS OF 04/21/2021:
Amount Due
$0.00
$0.00
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 201 O
Cltyof
ktColl~ I
ELECTRICAL PERMIT APPLICATION
I
Community Development and Neighborhood Services
281 N College 970-416 -274 0
Fort Collin s, CO 80524 buildingservices@fcgov.com
Application# _~_Z~l lJ ............ Z,_1 _{V\ ___ _
1.z1.zoil Date Received
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address
Address ____ L-{_?>_t>_O_<ci-=-=-ol,.,_,ll=-e.-'"-'-e=y""'/!,-L)C==--------------City/State/Zip Fe/ co I i 0 s2-e,
Property Owner Information
Name Mo..r'j C.,;o¼;
Val ue of Work
Labor and Materials $ __,J,=-><-0..,.D'--"Q"""'.c..:,O"""O=----------
Scope of Work
~anel change out ~ Meter change out
Phone Number
City/State/Zip _________ _
---------··---------------
0 Upgrade existing wiring
~anel 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 & Yes O No
Existing Amps _t'-'o=-0 ___________ _
NewAmps ,so Amp pe e J" .. .,e . .-+ Mie+"'".J-<Z-
----~------------------
Additional Information
(if applicable)
Electrical Contractor Information
Name L c,,,o,,h f.le-clc ,c...
Address :2,..""2...Lc:> ~mt1kl,o gJ
Phone Number C}70 5~ I yo 57
License Number ME-____________ _
Email
City/State/Zip rC1 CD ~o -s•-z...~
Ct, rd:/g (I\ b gs f) '1 a. t.oo , C::..01¾
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.
I PrinlN_am_e ____ ~---_ ~'-Si_gn_a_tur;_e ____ ·---------------~I_D_a_te~----~