HomeMy WebLinkAbout4900 BOARDWALK DR - PERMITS - 3/21/2016Community Development & Neighborhood Services
City of
281 N. College Ave Fort Collins, CO 80522
PArt Collins
970.221.676o 970.224.6134 -fax
Site Address: 4900 BOARDWALK DR, N 204
Job Valuation: $231.48 Category: Residential
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Owner: MIRAMONT APARTMENTS LLC
1355 S COLORADO BLVD STE C710
DENVER, CO 80222-3305
Building Permit #: B1601402
Issued Full: 03/21/2016
Permit Type: Residential Water Heater
Phone: 970-371-8170
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M 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:
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# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
rvj Contractor: ELLMANN SERVICE COMPANY License #: MP-419 Supervisor cert #:
' 1.1. 4024 CRESCENT DR
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FORT COLLINS, CO 80526 Phone: 970-223-3312
Subcontractor(s) Phone License Number
s Plumbing: ELLMANN SERVICE COMPANY 970-223-3312- MP-419
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Work Description: Install customer supplied water heater
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 03/21/16: $30.21 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
City of
Fort Collins
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Site Address: 4900 BOARDWALK DR, N 204
Job Valuation: $231.48 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 03/21/2016
$30.21
Receipt issued: 03/21/2016 Total Paid to Date:
$30.21
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030
$4.46
County Sales/Use Tax 100.217030
$0.75
;.. Permit Flat Fee w/o Subs $25 1000.422010
$25.00
TOTAL FEES:
$30.21
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1601402
Issued Full: 03/21/2016
Permit Type: Residential Water Heater
Comments
Amount Paid
Date Paid
$4.46
03/21/2016
$0.75
03/21/2016
$25.00
03/21/2016
$30.21
Amount Due
$0.00
$0.00
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.