HomeMy WebLinkAbout4900 BOARDWALK DR - PERMITS - 10/4/2016 (2)-71
CommunityNeighborhood Services
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281 N. College Ave FoCollinsCO 8022
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970.221.676o 970.22 .6134 fax
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Building Permit #: B1605924
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Issued Full: 1010412016
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Permit Type: Residential Water Heater
Site Address: r�; �A�= DW,"A, LK DR
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Job Valuation: ' 23KL�4 Category: Residential
j ! Owner: FT COLLINS MULTIFAMILY I DST
I 2901 BUT T ERFIELD PD
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OAK BROOK, IL 60523
Phone:
is Zoning: Front setback: Rear setback.
Right setback: Left setback:
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Minor Amend ;`: Plat File #:
ZBA Case #:
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Zoning district. MF%AN - 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`
I Contractor: ELLMANN SERVICE COMPANY
License #: MP 419 Supervisor cert#:
4024 CRESCENT DR
FORT COLLINS, CO 80526
Phone: 970-223-3312
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Subcontractor(s)Phone
License Number
Plumbing: ELLNiANN SERVICE COMPANY ..
970-223-3312 . , MP-419 ._ ,
Work Description: Install customer supplied water heater. Clubhouse
SCHEDULE INSF—EC e IONS: ***By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
'By i0obile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FNP FNE FNM
TOTAL- FEES PAID AS OF 10/04/16: $30.19 Payment method: Trust Account
** Fee Detail Displayed on Next Fagg
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's 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 P:.1onoxlde Alarm ?squi ed i:'iithin 16 feet of each bedroom entrance.
Signature: Print Name: Date:
Form Revised Oct 2010
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Community Development & Neighborhood Services
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281 N. College Ave FortCollins, CO So 22
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�0.221.6�6o70.224.6134 -fax
Building err>rii
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Issued Full: 10/04/2016
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Permit Type: Residential Water Heater
Site Address: 4900 BOARDIA./XLK DR
i. Job Valuation: $23054 Category: Residential
1 Transactions
Method CF ark Lg_U&?.er Date Paid
Amount Paid
Comments
Trust Account 10/04/2016
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$30.19
Receipt issued: 10/04/2016 Total Paid to Date:
$30.19
Fee Description Account Code
Fee Amount
Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030
$4.44
$4.44 10/04/2016 $0.00
1' County Sales/Use Tax 100.217030
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$0.75
$0.75 10/04/2016 $0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00 10/04/2016 $0.00
iO!621L, FEES:
$30.19 $30.19
$0.00
0.0®
Fee Amounts are valid for date of this document only. Fees subject to change without notice.