HomeMy WebLinkAbout1117 Clark St - Permits/Mechanical Alteration - 10/23/1989DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6760
REAR
Cf ofFoxt Uni" BUILDING PERMIT
LEFT RIGHT
'JOB SITE ADDRESS 1117 CLARK STREET
Per TVPe
'rk Type Category Type r ET
ALTFRATID'N SrNaLE FAMILY DETACHED
g
2
P�Ng��igtANICAL
iitlj�NT iAL
use Zane Permi[Le `I
FULL/FT
/FINAL
Subdivision PUD
Filing
PERMIT FEES
Q
Building Valuation
3 S 0 D
Subdivision/PUD
w
FRONT
J
Lot
Block
Parcel
d"iO621`005
ACCOUNT
FEE
DATE PAID
Las0.
atHMIDT
Plrst
HUSERT
Mi.
Plan Check
Lot Area
w
Bldg. Permit
Parkland
is • 00
Address
Gry
Plat File No.
z
iL7 CLARK STREET
FT COLLINS
City Sales Tax
Sta�D
Zip+'8(}524
Phone No
Street Oversizing
"+$. 13
Off St. Parking
Water Plant Investment Fee
Sewer Plant Fee
Electric Underground
o�
Company Nagle
_1NU"•r�?�'-UMBING
Contractor �cense.tVo.
NI'-lcl
Water Rights
Trunkline
L 221-6769
TO SCH
Address„o
2t7UGALWAY DRIVE
city
LAPORTE
state
WD
C,
Misc.
(See reverse side for
Description)
Zip
3Lj535
Phone
221-1735
sales r
M71
Inspection
Construction Type
Occupancy Group
Fire Sprinkler
UGM
_L
RM
Hording Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
63, j3
Y fdN
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
3
LL
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
Z
r'
i'R
?4..Y'rl
c
ITS 15,
48.
CO,
13
°
T`�DNVERT PROM ELECTRICAL HEATING TO GAS HEATING
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;zr(:L1C7,51A
ZBA Case No.
BBA Case No
DEPARTMENT
STATUS
DATE
Per
It Na (1�92151
'a`u":,pi�SER 23, 1499
• •
Electrical
Zoning
"' " "
' ' "' W
As a con Rion for the issuance of a permit, I hereby declare that I am
Engineering
an o ner or the owner' agent, authorized to perform the proposed
water x Sewer
work o the o ert esc ib d herein. I a ree to comply with all the
p y g
Light 8 Power
Street Oversizing
Mechanical
requi a ents co el , a d City ordina , and State laws
Storm Drainage
assocat d wi j h o 1 Und r an t at s c permit may be
Plan Check
revok d t is ce a b e on i rrect information.
Poudre Fire Authority
Plumbing
Lorimer County Health
'ii'
Signature
D 10 q