HomeMy WebLinkAbout820 Merganser Dr - Permits/Water Heater - 01/23/2019City of
F6rt Collins
Site Address: 820 MERGANSER DR, 5 01
Job Valuation: $296.99 Category: Residential
Owner: DBA SUMMITVIEW AND VINE LTD
5575 DTC PKWY STE 250
GREENWOOD VILLAGE, CO 80111
Zoning: Front setback: Rear setback:
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1900485
Issued Full: 01/23/2019
Permit Type: Residential Water Heater
Phone: 970-221-5328
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: MMN - MEDIUM DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Corn sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ELLMANN SERVICE COMPANY
1414 BLUE SPRUCE DR# F
FORT COLLINS, CO 80524
Subcontractorts
Plumbing: ELLMANN SERVICE COMPANY'_
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Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
License #: MP-419
Phone: 970-223-3312
Basement sq ft:
Supervisor cert#:
f: Phone f
1 i 970-223-3312
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License Number
MP-419
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Work Description: Install and test customer -supplied water. heater.'_y
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: hftp://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 300 301 302
TOTAL FEES PAID AS OF 01123/19: $31.91 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:
Print Name:
Form Revised Oct 2010
fins
Site Address: 820 MERGANSER DR. 5 01
Job Valuation: $296.99 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 01/23/2019
Receipt issued: 01/23/2019 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
TOTAL FEES:
Amount Paid
$31.91
$31.91
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ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1900485
Issued Full: 01/23/2019
Permit Type: Residential Water Heater
Fee Amount
Amount Paid
$5.72
$5.72
$1.19
$1.19
$25.00
$25.00
I 1
LJ _I
$31.91 $31.91
Date Paid
Amount Due
01/23/2019
$0.00
01/23/2019
$0.00
01/23/2019
$0.00
TOTAL BALANCE DUE AS OF 01/23/2019:
$0.00
0. 00
L' i l
Fee Amounts are valid for date of this document only. Fees subject to change without notice.