HomeMy WebLinkAbout2274 TRESTLE RD - PERMITS - 4/28/2021City of
,ktColli~
Site Address: 2274 TRESTLE RD
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.2 24 .6134 -fax
Building Permit#: 82103131
Issued Full: 04/28/2021
Permit Type: Electric Service Change
Job Valuation: $1,500.00 Category: Residential Remodel
Owner: MORA MARGARET C
2274 TRESTLE RD
FORT COLLINS, CO 80525-6780 Phone: 970-980-4704
Zoning: Front setback: ______ Rear setback: _____ Right setback: ____ _ Left setback:
Minor Amend#: ______ Plat Fi le#: _____ ZBA Case #:
Zoning district LMN -LOW DENSITY MIXED-USE NEIGHBORHOOD DISTRICT
Legal: Subd ivision/PUD: ________________ Filing# Lot#: Block#: --------
Code: Res sq ft: o ----# of stories:
Fire Sprkl r:
Contractor: T'S ELECTRIC LTD
Com sq ft:
0cc Group:
Stock plan #: ___ _
1420 BLUE SPRUCE DR., Unit I
FORT COLLINS, CO 80524
Subcontractor(s)
Electrical T'S ELECTRIC LTD
Wo rk Description: Service upgrade to 150 amps.
Ind sq ft: Basement sq ft: _______ _
Const Type: ---------------------Stock plan options: _________________ _
License #: ME-533
Phone: 970-224-5898
Phone
970-224-5898
Supervisor cert#
License Number
ME-533
SCHEDULE INSPECTIONS : ** v ia Text Message : 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcaov.com/CitizenAccess/mobi le
Possible Inspections Required: 301 206
TOTAL FEES PAID AS OF 04/28/21: $99.88 Payment method: Credit Card 7146
** Fee Detail Displayed on Next Page
f!,,s 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 sha ll 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.
Signature: Print Name: Date: -------------------------------------Form Revised Oct 2010
City of
,ktColli~
Site Address: 2274 TRESTLE RD
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82103131
Iss ued Full: 04/28/2021
Permit Type: El ectri c Service Change
Job V a lu ation: $1,500 .00 Catego ry: Residential Remodel
Tra nsactions
Method Cbe~k Nymber Date Paid
Credit Card CK# 7146 04/28/2021
Receipt issu ed : 04/28/2021 Tota l Pai d to Date:
Fee Descri~t ion Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee -$65 1000.422010
TOTAL FEES:
Amoynt Paid Comment~
$99 .88
$99.88
Fee Amount Am ount Paid Date Paid
$28.88 $28 .88 04/28/2021
$6.00 $6 .00 04/28/2021
$65.00 $65.00 04/28/2021
$99.88 $99.88
TOTAL BALANCE DUE AS OF 04/28/2021:
Amount Due
$0 .00
$0.00
$0.00
$0.00
Fee Amounts are val id for date of this document o nly. Fees subject to change w ithout notice.
Form Revised Oct 201 O
City of
ktColli~
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). □ Air Conditioning
□ Demolition (interior non-structural) □ Electrical Alteration (not service change) □ Gas Lighter □ Gas Log
□ Heating Unit □ Lawn Sprinkler □ Mobile Home replacement □ Roofing □ Sewer Line □ Photo-voltaic
□ Ventilation □ Water Heater □ Water Line □ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application# __________ _
For office use only
Date __,_1/_--".d""'-. __,~=---,,,,2"--'cJ=, -'-'.;.t'-'-. _,_I __ _
Job Site Address (required) Value of Construction (labor, materials, profit) 1$1)'.)
i2J. ---1---~ c..Y5" 'O 1
Property Owner Name Address
-\-Vflc> r
Address
J '-1:>o '3
Contractor
Ts f e c--+ r-.' '-
Contractor City of Ft. Collins Sales Tax #
Sales tax number is required by all contractors.
Address
'.:)c,
City/State Zip
~
City/State
-t:=-l 0
City/State Zip
Are you paying taxes here or by report? □ Here
Are you paying with your trust account? □ Yes
Is this a residential or commercial project? □ Residential □ Commercial
If residential, is it: fi!l Single Family Detached □ Condo/townhome (single family attached) □ Duplex
□ Multifamily (apartment) □ Garage
If commercial, is it: □ Bank □ Bar □ Church □ Hotel/Motel □ Medical office □ Office □ Retail
□ Restaurant □ Other (explain) _________________ _
Phone
Phone
Phone
gj Report
□ No
Is this building 50 years of age or more? □ Yes i1;'1 No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed? ______________ _
If prior to 1975, you will need an asbestos assessment to submit with this application.
Description of work 5ervL'ce ¼{2 er rsd e ±v
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Ft Collins license #
Electrician/"\G :533 Plumber _______ Mechanical ______ Roofer ______ Other ____ _
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.