HomeMy WebLinkAbout401 Skysail Ln - Permits - 05/12/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
L,B BUILDING PERMIT
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LEFT RIGHT
JOB SITE ADDRESS - _ --
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Permit Type- .:
Work.Type - - �" Category Type _ -- - ', - -
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Propc2ed Use:_,`
Use Zone Permit L¢vel
Subdivision PUD ❑'`
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PERMIT FEES
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Building Valuation
FRONT
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Lot
Block
Parcel No_
ACCOUNT
FIDE
DATE PAID
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First _ _
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Lot Area
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3'f. 76
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Address •: �:.a
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Plat File No. - -
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State _ _
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Zip _ _
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Phone Na _
Off St. Parking
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Company Name '"jam
Contractor LicerrseNo:_ T
REQUIRED INSPECTIONS
Address .: _
City �n!
State_
CALL 221-6769
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TO SCHEDULE INSPECTIONS
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(See reverse side for
Zip �,
Phone Sales Taxrpo.;
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Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg, Height
TOTAL FEES
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
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No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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To'
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Pr MT", 37"
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ZBA Case No.
BBA Case No.
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Permit No......_- ` Per .. .
rTMENT
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Electr_cel
As a conditi n for the issuance of a permit, I hereby declare that 1 am an owner
or the ow Y s agent, authorized to perform the proposed work on the property96
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describe erein. I agree to comply with all the requirements contained herein,
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and City�ordmances, and State laws associated with such work. I understand that
Mechanical: _
such permit may be revoked in the event that issuance was based on incorrect
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information. This permit shall become null and void if the work authorized by
sue a it is not commenced, suspended, abandoned, or not inspected within
18 day frgm the date such permit.
Plumbing •�
Signature
Date
nRIGINAL - Fll F. RIA-E - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD I