HomeMy WebLinkAbout821 Elm St - Permits/Water Heater - 09/26/2016Site Address: 821 ELM ST
Job Valuation: $1,800.00 Category: Residential
Owner: 821 ELM LLC
301 W MAGNOLIA ST
FORT COLLINS, CO 80521-2804
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone:
Building Permit #: B1605596
Issued Full: 09/26/2016
Permit Type: Residential Water Heater
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: PATRICK PLUMBING & HEATING
3600 HORSETOOTH CT
FORT COLLINS, CO 80526
Subcontractor(s)-
Plumbing: PATRICK PLUMBING & HEATING
Const Type:
Stock plan options:
Supervisor cert #:
License Number
MP-254....
Work Description: Replace hot water heater - Hot.water.heater located. -in a mechanical unit outside of the building and services all
four units.
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Ilnspections: FNP FNE FNM
TOTAL FEES PAID AS OF 09/26/16: $65.50 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: G 1/(�1 r j J�""� Date: �-2,b
-/�2
Form Revised Oct 2010
Site Address: 821 ELM ST
Job Valuation: $1,800.00 Category: Residential
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Method Check Number Date Paid
Trust Account 09/26/2016
Receipt issued: 09/26/2016 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $25 1000.422010
Amount Paid
$65.50
$65.50
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1605596
Issued Full: 09/26/2016
Permit Type: Residential Water Heater
Comments
$34.6b $34.6b
$5.85 $5.85
$25.00 $25.00
Date Paid
09/26/2016
09/26/2016
09/26/2016
Amount Due
$0.00
$0.00
$0.00
TOTAL FEES: $66.60 $66.60 $0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.