HomeMy WebLinkAbout820 Merganser Dr - Permits/Water Heater - 05/22/2019 (2)�of
t Collins
Site Address: 820 MERGANSER DR,16 05
Job Valuation: $289.30 Category: Residential
Owner: DBA SUMMITVIEW AND VINE LTD
5575 DTC PKWY STE 250
GREENWOOD VILLAGE, CO 80111
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 #: B1903462
Issued Full: 05/22/2019
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:
# of stories:
Fire Sprklr:
Filing* Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan M Stock plan options:
Contractor: ELLMANN SERVICE COMPANY
1414 BLUE SPRUCE DR # F
FORT COLLINS,.CO 80524,
Subcontractors) --
Plumbing: k ELLMANN_SERVICE-COMPANY-,
�
I /
License M MP-419 Supervisor cert#:
Phone:970-223-3312
Phone (' I License Number
i 970-223-3312_
Work Description: Install customer supplied water heater.
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 300 301 302
TOTAL FEES PAID AS OF 05/22/19: $31.73 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:
Date:
Form Revised Oct 2010
�of
t Collins
Site Address: 820 MERGANSER DR,16 05
Job Valuation: $289.30 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 05/22/2019 $31.73
Receipt issued: 05/22/2019 Total Paid to Date: $31.73
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1903462
Issued Full: 05/22/2019
Permit Type: Residential Water Heater
Comments
Fee Description Account Code Fee Amount Amount Paid
City Sales/Use Tax 251.122030 $5.57 $5.57
County Sales/Use Tax 100.217030 $1.16 $1.16
Permit Flat Fee w/o Subs $25 1000.422010 $25.00 $25.00
TOTAL FEES:
$31.73 $31.73
Date Paid
Amount Due
05/22/2019
$0.00
05/22/2019
$0.00
05/22/2019
$0.00
$0.00
TOTAL BALANCE DUE AS OF 05/2212019: 0.00
i
U
Fee Amounts are valid for date of this document only. Fees subject to change without notice.