HomeMy WebLinkAbout4900 BOARDWALK DR - PERMITS - 10/20/2016lCity 6f
Community Development & Neighborhood Services
6rt Collins
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
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Building Permit #: B1606303
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Issued Full: 10/20/2016
Permit Type: Residential Water Heater
.' Site Address: 4900 BOARDWALK DR, 1202
Job Valuation: $207.40 Category: Residential
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Owner: FT COLLINS MULTIFAMILY I DST
PO BOX 3666
OAK BROOK, IL 60522-3666
Phone:
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: Corn sq ft:
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Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Const Type:
Fire Sprklr: Stock plan #:
Stock plan options:
Contractor: ELLMANN SERVICE COMPANY
License #: MP 419 Supervisor cert#:
4024 CRESCENT DR
FORT COLLINS, CO 80526
Phone: 970-223-3312
Subcontractor(s) .
Phone License Number
.; Plumbing: ELLMANN.SERVICE COMPANY ..
970-223-3312. MP419..
Work Description: Install customer supplied Water Heater /test.
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***Bv Mobile Device: htti)://www.fcgov.com/CitizenAccess/mobile
Lnspections: FNP FNE FNM �I
TOTAL FEES PAID AS OF 11/08/16: $29.66 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 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 Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name:
Date:
Form Revised Oct 2010
Community Development & Neighborhood Services
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281 N. College AveCollins, CO 80522
221. 7 O 2 -fax
970 6 6 970 2 .6134
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B uiId ing ermit #: B1606303
Issued Full: 10/20/2016
Permit Type: Residential Water Heater
Site Address: 4900 BOARDWALK DR, 1202
Job Valuation: 207.40 Category: Residential
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Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 10/20/2016
$29.66
Receipt issued: 11/08/2016 Total Paid to Date:
$29.66
a Fee Description Account Code
Fee Amount
Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030
$3.99
$3.99 10/20/2016 $0.00
k County Sales/Use Tax 100.217030
$0.67
$0.67 10/20/2016 $0.00
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00 10/20/2016 $0.00
TOTAL FEES:
$29.66 $0.00
$29.66
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TOTAL BALANCE DUE AS OF 11/08/2016: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.