HomeMy WebLinkAbout4501 Boardwalk Dr - Permits/Water Heater - 05/12/2016F -1-Y -
6rt Collins
Site Address: 4501 BOARDWALK DR, A 5
k Job Valuation: $1,754.56 Category: Residential
Owner: SLENTZ MARGERY
tv Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1602290
Issued Full: 06/12/2016
Permit Type: Residential Water Heater
1640 KIRKWOOD DR UNIT T-2011
FORT COLLINS, CO 80525 Phone:
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Zoning: Front setback: Rear setback: 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 M
'.I 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:
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Contractor: COLORADO DELTA MECHANICAL License #: MP-644 Supervisor cert#:
6056 E. Baseline Rd. Ste #155
Mesa, AZ 85206 Phone: 480-222-0775
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Subcontractor(s) Phone License Number
.i Plumbing: COLORADO DELTA MECHANICAL 480-222-0775 MP-644.. ..
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Work Description: Replace 40 gallon electric water heater 4500 watts
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 05/12/16: $64.48 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.
Signature: Print Name:
Date:
Form Revised Oct 2010
Clty Of CommunityDevelopment & Neighborhood Services
P 9
281 N. College Ave Fort Collins, CO 80522
6rt CO l l I n 970.221.676o 970.224.6134 -fax
?X Building Permit #: B1602290
l l Issued Full: 06/12/2016
I.. Permit Type: Residential Water Heater
Site Address: 4501 BOARDWALK DR, A 5
11 Job Valuation: $1,754.56 Category: Residential
,.. i
Transactions
+: Method Check Number Date Paid
Amount Paid
Comments
.` Trust Account 04/29/2016
$64.48
Receipt issued: 05/12/2016 Total Paid to Date:
i;
$64.48
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
1 City Sales/Use Tax 251.122030
$33.78
$33.78
04/29/2016
$0.00
j County Sales/Use Tax 100.217030
$5.70
$5.70
04/29/2016
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
04/29/2016
$0.00
I' TOTAL FEES:
is
$64.48
$64.48
$0.00
TOTAL BALANCE DUE AS OF 05/12/2016: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.