HomeMy WebLinkAbout4900 BOARDWALK DR - PERMITS - 12/6/2018City of
F6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: 131810549
Issued Full: 12/06/2018
Permit Type: Residential Water Heater
Site Address: 4900 BOARDWALK DR, F 305
Job. Valuation: = $286.08 Category: Residential
Owner: FT COLLINS MULTIFAMILY I DST
PO BOX 3666
OAK BROOK, IL 60522-3666 Phone: 970-371-8170
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: Ind sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: ELLMANN SERVICE COMPANY License #: MP 419
1414 BLUE SPRUCE DR # F
FORT COLLINS, CO 80524 ; ` \ Phone:_970-223-3312
Subcontractor(sl"�
Plumbing: ELLMANN_SE\CE_COMPANVY
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Work Description: Install a customer supplied water heater
Basement sq ft:
Supervisor cert#:
License Number
❑ MP-419_
SCHEDULE INSPECTIONS: ** Text Message: 888406-6394 ** Website: http://www.fcgov.com/CitizenAccess
** Phone: 970-221-6769 **Mobile Website: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 300 301 302
TOTAL FEES PAID AS OF 12/06/18: $31.30 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
Cott' ®f Community Development & Neighborhood Services
�+ ` ® 281 N. College Ave Fort Collins, CO 80522
Fort
(Cultulto970.22i.676o 970.224.6134 - fax
Building Permit* '61810549
Issued Full: 12/06/2018
Permit Type: Residential Water Heater
Site Address: 4900 BOARDWALK DR, F 305
Job Valuation: $286.08 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 12/05/2018 $31.30
Receipt issued: 12/06/2018 Total Paid to Date: $31.30
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $5.51
County Sales/Use Tax 100.217030 $0.79
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
Amount Paid Date Paid Amount Due
$5.51 12/05/2018 $0.00
$0.79 12/05/2018 $0.00
$25.00 12/05/2018 $0.00
TOTAL FEES: $31.30 $31.30 $0.00
TOTAL BALANCE DUE AS OF 12/06/2018: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.