HomeMy WebLinkAbout415 S HOWES ST - N506 - PERMITS - 7/14/2021City of
ktColli~
Site Address: 415 SHOWES ST, N 506
Job Valuation: $5,500.00 Category: Res id ential
Owner: SIEVER DAVID T
PO BOX 272820
FORT COLLINS, CO 80527-2820
Zon in g: Front setback Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins , CO 80522
970.221 .6760 970.224.6134 -fax
Building Permit#: B2105580
Issued Full: 07/14/2021
Permit Type: Residential Electrical
Phone: 970-472-1716
Right setback ____ _ Left setback
ZBA Case# Minor Amend#: ______ Plat File # -----
Zoning district: D -DOWNTOWN DISTRICT
Legal: Subdivision/PUD: ________________ Filing#: Lot#: Block# --------
Code: Res sq ft:
# of stories:
Fire Sprklr:
Contractor: T J'S ELECTRIC
1151 Eagle Dr., #113
Loveland, CO 80537
Subcontractor(s)
Com sq ft:
0cc Group:
Stock plan #: ___ _
Electrical: T J'S ELECTRIC
Work Description : Install smoke/AFCI/GFCI/ grounding.
Ind sq ft: Basement sq ft: _______ _
Co nst Type : ____________________ _
Stock plan options ------------------
License # ME-1787
Phone: 970-573-9169
Phone
970-573-9169
Supervisor cert#:
License Number
ME-1787
SCHEDULE INSPECTIONS: ** via Text Message : 888-406-6394 ** By Phone: 970-22 1-6769
** Online Portal: fcgov.com /CitizenAccess ** Online Porta l via Mobile Device: fcgov.com/CitizenAccess /mobile
!Possible Inspections Required: 201 206 301 103 302 300
TOTAL FEES PA ID AS OF 07/14/21 : $192.87 Payment method: Credit Card 7282
*" Fee Detail Displayed an 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 requ irements contained herein, and City ordinances , and State laws associated with such work. I understand that such permit may be
revoked in the event that issuarce was based on incorrect information. This permit shall become null and void if the work authorized by such permit is not commenced .
suspe1ded, abandoned or not inspected within 180 days from the date of such permit.
Carbon Monoxide Alarm required within 15 f eet of each bedroom entrance.
Signature: Print Name: Date: -------------------------------------Form Revised Oct 2010
City of
,ktColli~
Site Address: 415 SHOWES ST, N 506
Job Valuation: $5,500.00 Category: Residential
Transactions
Method
Credit Card
Check Number
CK# 7282
Date Paid
07/14/2021
Receipt issued: 07/14/2021 Total Paid to Date:
Fee Description
City Sal es/Use Tax
Cou nty Sales/Use Tax
Permit Flat Fee -$65
Account Code
251.122030
100.217030
1000.422010
TOTAL FEES:
Amount Paid
$192.87
$192.87
Fee Amount
$105.87
$22.00
$65.00
$192.87
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: B2105580
Issued F u ll: 07/14/2021
Permit Type: Residential Electri cal
Comments
Amount Paid
$105.87
$22 .00
$65.00
$192.87
Date Paid
07/14/2021
07/14/202 1
07/14/2021
Amount Due
$0.00
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS OF 07/14/2021:
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
City of
Fort Collins
-----
ELECTRICAL PERMIT APPLICATION
Community Development and Neighborhood Services
281 N College 970-416-2740
App lication # __________ _
Fort Collins, CO 80524 buildingservices@fcgov.com Date Received
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Ad i/
Address '2 c1t,1s1ai.rz:;p fi1-rJ4k, /]8c62--/
Property Owner Information
Name DJ VJ b f} ff;-{.__
Address ( s 'S -. ~6
Phone Numbe, '1Jo -!£ti!/(;,
City/State/Zip · ' a ~
0 Single Family Detached O Townhome (attached) 0 Duplex
------------·-·
0 Bank O Bar O Church O Hotel/Motel O Medical Office O Office
------··------
Va lue of Work
Labor and Materials$ __ ZJ_~ __ 'rO _________ _
Scope of Work
! . ' .
j ! 0 Panel change out
l
l
0 Meter change out {Q1:Jpgrade existing wiring
QRetail 0 Restaurant
! 0 Panel Upgrade (May require additional review time. A commercial panel upgrade of 225A or 3 phase requires a 1 line diagram.)
I • ··r
i o Other~lectrical al~e ~a~:n~ /ifrlc1ee ;ii)~V / ~1,~~/1 t},rfn;v}"J 1¥---L~;-urire_ 1 ,.._ r t -I-~Y¾..i ) ' y I .
Service Upgrade O Yes O No
Existing Amps _____________ _
1-------·-New Amps __________ -_::-_::-::::::.=:=.=..-=..-:..-_-
!
i Additional Information
I (if applicable)
I
Electrical Contractor Information ( .
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 4Yf i~t~ J f:t J:ACA-lvO
Prin~e
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