HomeMy WebLinkAbout4501 Boardwalk Dr - Permits/Water Heater - 08/28/2013City of
��t Collins
Site Address: 4501 BOARDWALK DR, A 7
Job Valuation: $628.00 Category: Residential
Owner: LLOYD HEATHER C
1214 WOODS LANDING DR
FORT COLLINS, CO 80525
Zoning: Front setback:
Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1304573
Issued Full: 08/28/2013
Permit Type: Residential Water Heater
Phone: 970-214-6933
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: MMN - MEDIUM DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: COLORADO DELTA.MECHANICAL r
6056 EAST BASECINE Rpi#165
MESA, AZ 85206 �
Subcontractor(s��)
Plumbing: COL ORADO-DELTA.MECHANICAL
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Remove existing -water heater
License #: MP-644 Supervisor cert#:
Phone:866-692-5273
water heater.
License Number
MP-644
n S,
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 08/28/13: $38.97 Payment method: Trust Account
*' Fee Detail Displayed on 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 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 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 such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Bl[t1VERED AUG 2 8 ZZ
Signature:
Print Name:
Date:
Form Revised Oct 2010
Frt Collins
Site Address: 4501 BOARDWALK DR, A 7
Job Valuation: $628.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1304573
Issued Full: 08/28/2013
Permit Type: Residential Water Heater
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 08/28/2013
$38.97
Paid by COLORADO
DELTA MECHANICAL, trust MP-644
Receipt issued: 08/28/2013 Total Paid to Date:
$38.97
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$12.09
$12.09
08/28/2013
$0.00
County Sales/Use Tax 100.217030
$1.88
$1.88
08/28/2013
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
08/28/2013
$0.00
TOTAL FEES:
$38.97 $38.97
$0.00
TOTAL BALANCE DUE AS OF 08/28/2013: 0.00
/
or O
Fee Amounts are valid for date of this document only. Fees subject to change without notice.