HomeMy WebLinkAbout914 S COLLEGE AVE - PERMITS - 8/15/2003Community Planning &Environmental Services BUILDING PERMITPERMIT
Building & Inspections Division
FEES
�- P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
city of Fort colli ns phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 4 51 4
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRES5914 S COLLEGE AVE
PERMIT DATE
CS/ "i 52C)03
uildirg Permit w/o Subs
uilding Permit w/o Subs
$15.CC
$41.50
7/18/03
8/15/03
PERMIT
TYPE
WTRHTR Water Heater
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
I Hotel/Motel/Lodging
Last Name, First, Middle Initial
EXCHANGE PARTNERS
Construction Type
Occupancy Group
w ZAddress
3
City/Statep
PO BOX 101642 DENVER, CO
W
No. of Stories
0
V
Building Height
0
Zip Phone No.
80250 484-1984
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
'
0
_Z
Z
Right Side Setback Left Side Setback
• • • •
Plat File No.
ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
F I4 r
J
wLot
Block Lot Area Parcel No..
J
Q 9113229004
Name Contractor License No.
OCompany
V
Address City/State
H
ZZ
Phone Supervisor Cert. No.
V
Electrical License No.
W
Mechanical
License No.
F—
Roofing
Framing
License No.
License No.
Z
V
Z)
Plumbing
License No.
V)
pj�YMQ HEATING
Concrete
License No.
REPLACE RF250-76A WITH G72-2504 WATER HEATER IN CLUBHOUSE BASEMENT
THIS WATER HEATER HAS NO CONNECTION TO ANY RESTAURANT FACILITIES. INSTALL AS PER 2000
UPC. REQUIRES STATE BOILER INSPECTION (OVER 199,000 BTU)
LU
As
a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described
herein. I agree to comply with all 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 or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced,
suspended, abandoned or inspected within 180 days from the date of su permit or from the date of the last inspection.
0r- g1l5-/ 63
name of owner/agent Sigrfature Date
Print
TOTAL FEES
$56.50