HomeMy WebLinkAbout4286 Stoneridge Dr - Permits - 06/17/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
ttyo o BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
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Permit Type
work Type Category Type
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ProposedLse _
Use Zone Permit Level -"
Subdivision PUD
FilingPERMIT
FEES
Subdivision/PUD
Building Valuation
Q
FRONT
Lot
Block
Parcel No
ACCOUNT.
FEE
DATE PAID
Last
First
M.I.
Lot Area
Z
-
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Address
City
Plat File No.
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- _'
State
Zip � - � -
Phone No. � �
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Off St Parking
Q
Company Name
Contractor License No.
REQUIRED INSPECTIONS
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F-
Address
City
State
Q
CALL 221-6769
TO SCHEDULE INSPECTIONS
ZO
(See reverse side for
Zip
Phone
Sales Tax No.
u
I
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
O
3
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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1
HH 1073
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Text:
U
17JUH
2 HH 1073
ERMIT
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A11T
UE
$15.00
C
ECK
$15.00
ZBA Case No.
BBA Case No.
Permit No.
Permit Date
DEPARTMENT
STATUS
SUB
CONTRACTORS
Electrical
As a condition for the issuance of a permit, I hereby declare that I am an owner
or the 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
Mechanical
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 f such permit.
Plumbing
Signature „/f —
Date
ORIGINAL - FILL, BLUE - OFFICE, CANAHYv SALES IAX, FINK - AYYLICAN 1, IAG - HEM L.AHU