HomeMy WebLinkAbout4900 BOARDWALK DR - PERMITS - 11/12/2015 (8)City ®f Community Development & Neighborhood Services
Fort iCollins 281 N. College Ave Tort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1507816
Issued Full: 11/12/2015
j Permit Type: Residential Water Heater
Site Address: 4900 BOARDWALK DR, H 205
Job Valuation: $175.00 Category: Residential
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 M 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 License #: H-1917 Supervisor cert#:
629 Valley View Rd
LOVELAND, CO 80538 Phone: 970-669-3569
Subcontractor(i) Phone License Number
Work Description: Install owner provided water heater
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***Bv Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
IlInspections: FNP FINE FNM 11
TOTAL FEES PAID AS OF 11112/15: $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
Frt Collins
Site Address: 4900 BOARDWALK DR, H 205
Job Valuation: $175.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card CK#4736 11/12/2015 $28.94
Receipt issued: 11/12/2015 Total Paid to Date: $28.94
Fee Description Account Code Fee Amount
City Sales/Use Tax 261.122030 $3.37
County Sales/Use Tax 100.217030 $0.57
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
Community Development &Neighborhood Services
281 N. College Ave Port Collins, CO 80522
970.221.676o 970.224.6134-fax
Building Permit #: B1507816
Issued Full: 11/1212015
Permit Type: Residential Water Heater
Comments
CC# 4736 by Air Flow LLC
Amount Paid Date Paid Amount Due
$3.37 11/12/2015 $0.00
$0.57 11/12/2015 $0.00
$25.00 11/12/2015 $0.00
TOTAL FEES: $28.94 $28.94 $0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.