HomeMy WebLinkAbout4286 Stoneridge Dr - Permits - 04/14/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
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P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
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City of o s BUILDING PERMIT
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JOB SITE ADDRESS -n 7
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LEFT RIGHT
Permit Type
work Type Category Type
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Proposed Use
Use Zone 'Permit Level
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Subdivision PUD ❑:,
Filing _PERMIT
FEES
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Suhdivision/PUD
Building Valuation
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Lot
Block
Parcel No.
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ACCOUNT
FEE
DAIS PAID
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Lot Area
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Company Name
Contractor License No.
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CALL 221-6769
Address
City
State
TO SCHEDULE INSPECTIONS
(See reverse side for
zip
Phone
Sales Tax No.
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Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
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Building Square Footage
No. of Stories
Bldg. Heigh[
TOTAL FEES
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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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ZBA Case No.
BBA Case No.
DEPARTMENTAL
REVIEW
Permit No Permit Date
DEPARTMENT
STATUS
DATE
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-'Electrical
As a conditi for the issuance of a permit, I hereby declare that I am an owner
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or the own 's agent, authorized to perform the proposed work on the property
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9201124
describe Brain. I agree to comply with all the requirements contained herein,I
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and City rdinances, and State laws associated with such work.I understand that
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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
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such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
Plumb ng
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Signature h
Date /_
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