HomeMy WebLinkAbout650 STOVER ST - PERMITS - 3/25/2021City of
k tColli~
Site Address: 650 STOVER ST
Job Valuation: $1,000.00 Category: Residential
Owner: PERRY LEROY THEODORE REVOCABLE TRUST
579 KEOLU DR APT D
Community Development & Neighborhoo d Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82102192
Issued Full : 03/25/2021
Permit Type: Residential E lectrical
KAILUA, HI 96734-3980 Phone: 808-255-4367
Zoning : Front setback: ______ Rear setback: _____ Right setback: ____ _ Left setback:
Minor Amend#: ______ Plat File#: _____ ZBA Case #:
Zoning district NCM -NEIGHBORHOOD CONSERVATION -MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD ________________ Filing#: Lot#: Block# --------
Code: Res sq ft: ____ Com sq ft: Ind sq ft: ______ Basement sq ft: _______ _
# of stories ____ 0cc Group: Const Type: ____________________ _
Fire Sprklr: ____ Stock plan #: ____ Stock plan options: _________________ _
Contractor: COLORADO SUN ELECTRIC License#: ME-1721 Su perviso r cert#:
621 Mathews St.
FORT COLLINS, CO 80524
Subcontractor(s)
Electrical COLORADO SUN ELECTRIC
Work Description: Replace panel. No upgrade in amperage.
Phone : 970-818-6008
Phone
970-818-6008
License Number
ME-1721
SCHEDULE INSPECTIONS: ** via Text Mess age: 888-406-6394 ** By Phone : 970-221-6769
** Onlin e Porta l: fcgov .com /CitizenAccess ** Onlin e Portal via Mobile Device: fcgov .com /Ci ti zenAccess/mobile
Possible Inspections Required: 201 206 301 103 302 300
TOTAL FEES PAID AS OF 03/25/21: $88.25
•• Fee Detail Displayed on Next Page
Payment method: Credit Card 1005
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 ord inances, 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 commen ced,
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
ktColli~
Site Address: 650 STOVER ST
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970 .224.6134 -fax
Building Permit#: 82102192
Issued Full: 03/25/2021
Permit Type: Residential Electrica l
Job Valuation: $1,000.00 Category: Residential
Transactions
Method Check Number Date Paid
Credit Card CK# 1005 03/25/2021
Receipt issued: 03/25/2021 Total Paid to Date:
Fee Descri~tion Account Code
City Sales/Use Tax 25 1.122030
County Sales/Use Tax 100.217030
Perm it Flat Fee -$65 1000.422010
TOTAL FEES:
Amount Paid Comm ~nts
$88.25
$88.25
Fee Amount Amount Paid Date Paid
$19 .25 $19.25 03/25/2021
$4.00 $4.00 03/25/2021
$65.00 $65.00 03/25/2021
$88.25 $88.25
TOTAL BALANCE DUE AS OF 03/25/2021:
Amount Due
$0.00
$0.00
$0.00
$0.00
Fee Amounts are valid for date of this doc ume n t only. Fees subject to change without notice.
Form Revised Oct 2010
281 N Co llege D7 0 -4 1f, 2/ ,;C,:
Fort Collins, CCJ B0!524 t)Ufl<)111 9:;{1:vir <";::;:J_!!fCq{.>' _ ;r):':i
I l\pp/1cc1tion # _
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Job Sihi Addre:;s
A d dress G 5 <) C ity/State/Zip
~~◊~:r!y 07:;;~~r;1t1on P~ 1 ✓ f
Address ___ Jo S 05 'tove/"" . ____ $1
Phone Number
0 Townhome (attached) 0 Duple x 0 Apartment/Cond o
Oaar 0 Cl1urc l1 0 Hotel/Motel O Medical Office O Offi c e ORetail 0 R e staurant
Scope of Wod-f ..
: (:Yranel change out 0 Meter change out 0 Upgrade existing w irin g
0 Panel Upgrad e (M a y require additional revi ew time. A commercial pane l upgrade of 225A or 3 phase require s a 1 l ine d iagram.)
0 Oth er e lectrica l alterations __________________ _
Service Up grad e O Yes ~o
Additio n al Informat ion
(if applicable)
E xi sting Amp s ______________ _
New Amps _______________ _
Electrical Conlrnctor l n formmion
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License Numbe r ME-___ .Q_Q_~--0..~L~'-----
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