HomeMy WebLinkAbout1 Old Town Sq - Permits/Water Heater - 06/01/2011�rof
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Site Address: 1 OLD TOWN SQ
Job Valuation: $5,550.00 Category: Residential
Owner: SQUARE, LLC
5 OLD TOWN SQ
FORT COLLINS, CO 80524
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 #: B1102317
Issued Full: 06/01/2011
Permit Type: Residential Water Heater
Phone: 970-407-0899
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: D - DOWNTOWN DISTRICT
Legal: Subdivision/PLID:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ELLMANN SERVICE COMPANY
4024 CRESCENT DR
FORT COLLINS, CO 80526
Subcontracto0s)— —�
Plumbing: j ELLMANN-SERVICE-COMPANY
j I
Work Description: REPLACE 18 KW WATER
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
Basement sq ft:
License #: MP-419 Supervisor cert #:
Phone: 970-223-3312
- Phone i License Number
/ 970-223-3312——,----MP-419-----_
I ** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess **
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 06/01/11: $15.00 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 owners 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.
Signature LOW I Print Name: Date: V P8 1'
Form Revised Oct 2010
City of
F6rtCollins
f�
Site Address: 1 OLD TOWN SO
Job Valuation: $5,550.00 Category: Residential
Method Check Number Date Paid Amount Paid
Trust Account 06/01/2011 $15.00
Receipt issued: 06/01/2011 Total Paid to Date: $15.00
Fee Description Account Code Fee Amount
Permit Flat Fee w/o Subs $15 1000.422010 $15.00
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1102317
Issued Full: 06/01/2011
Permit Type: Residential Water Heater
Comments
Amount Paid Date Paid Amount Due
$15.00 06/01/2011 $0.00
$15.00 $15.00
TOTAL BALANCE DUE AS OF 06/01/2011:
I
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
$0.00
0.00