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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.