HomeMy WebLinkAbout4900 BOARDWALK DR - PERMITS - 11/12/2015 (3)�fCollins
Site Address: 4900 BOARDWALK DR, APT# M 204
Job Valuation: $175.00 Category: Residential
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 990.224.6134 -fax
Building Permit #: B1507807
Issued Full: 11/12/2016
Permit Type: Residential Water Heater
Owner: MIRAMONT APARTMENTS LLC
1355 S COLORADO BLVD STE C710
DENVER, CO 80222-3305 Phone: 970-223-4940
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 #:
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:
Contractor: AIR FLOW LLC
629 Valley View Rd
LOVELAND, CO 80538
Subcontractor(s)
Mechanical: AIR FLOW LLC
License #: H-1917
Phone: 970-669-3569
Phone
970-669-3569 .
Supervisor cert#:
Work Description: Install owner provided water heater and perform the required combustion safety test.
License Number
H-1917
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 11/12/16: $28.94 Payment method: Credit Card 4736
" 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
C'}" 1 Community Development & Neighborhood Services
o
`r E 281 N. College Ave Tort Collins, CO 80522 fort Collins 970.221.676o 970.224.6134-fax
Building Permit #: B1507807
Issued Full: 11/12/2016
Permit Type: Residential Water Heater
Site Address: 4900 BOARDWALK DR, APT# M 204
Job Valuation: $175.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Credit Card CK# 4736 11/12/2015
$28.94
CC# 4736 by Air Flow LLC
Receipt issued: 11/12/2015 Total Paid to Date:
$28.94
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
City Sales/Use Tax 251.122030
$3.37
$3.37
11/12/2015
$0.00
j County Sales/Use Tax 100.217030
$0.57
$0.57
11/12/2015
$0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
11/12/2015
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
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