HomeMy WebLinkAbout1630 Lakeshore Dr - Permits/Water Heater - 06/05/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P,O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
4a
REAR
tt,.o BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS 1630 LAIIE5HDRE DR
F.
Permit
WHtPR
Type I
HEATER
work
NEW
Type Cateo�oryT pe
bIN3LE FAMILY DETACHED
.
a
kpESIDENTIAL
Use zone Peonsit
Subdivision PUD Filing
Q
Subdivision/PUD
Building Valuation 2n
w
FRONT
J
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
'MARTENS
Fo-st MAGGIE
M.I.
BL06 PERMIT FLAT
15.00
410605
Lot Area
CITY SALES tt) TA
{ta 4v
1hL•�3t�i
Address
Pa[Fie Na
3
LAKESHORE DR
- FT COLLINS
O
_ -I
State
CO
Zip
80525
Phone No.
223-6782
Off St. Parking
o
Company Name
A,LLEN PLUMBING & HEATING
Contractor License No.
tAP-4
REQUIRED INSPECTIONS
CALL 221-6769
Address
city
State
101 S. LINK LN.
FT COLLINS
CO
TO SCHEDULE INSPECTIONS
o
_ _ _
(See reverse side for
Zip
Peon¢
Sales Tax No,
Ul
80524
484-4841
1 10010
,-- _
Inspection Description)
construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
15.00
. r=
• nn
Occupant Load Occupancy Separation
Area Separation
Fire Canta:nmeni
O
3
ly
No. of Dwelling Umts No. of Bedrooms Fireplace/Stoves
Basemen[
Stock Plan Options
- -
-
-: L.`1
-
O
'-
-
^
Z
a
Tax,
REPLACE WATER HEATER
a
m
0
ZBA case No.
BRA Case No.
I`Pa 160i - 5, 194I
DEPARTMENT
STATUS
S E
DATE
Permit No 0911471
SUB CONTRACTORS
Electrical
"' '
' ""'
As a condi to or the issuance of a permit, I hereby declare that I am
an ownef or the owner's agent, authorized to perform the proposed
work o the property described herein. I agree to comply with all the
Mechanical
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.
PlumMng
#
-
_ -
Signature
Data
ORIGINAL - FILE, BLUE - UFHCL, CANARY - SALtL IAA, VINE - AYYLII.AIN 1, IAU - YI[Lv UAMU