HomeMy WebLinkAbout4621 S Shields St - Permits - 12/13/1995SETBACKS
Community Planning &Environmental Services
BUILDING P E RM I T
Building Permits & Inspections Division
REAR
P.O. Box 580 221 6769
Cityof Fad Collins
Fort Collins, CO 80522.0580
LEFT RIGHT
JOB SITE ADDRESS 4621 S SHIELDS ST
I.
PMEICMANICAL
woAEYIPERATION cateftF GLE FAMILY DETACHED
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P0810tNTIAL
Use Zone PermitCL L/FINAL
FRONT
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Subdivision PUD
lFilino
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Subdivision/PUD
Building Valuation 2235
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J
Lot
Block
Parcel Mo.
ACCOUNT
FEE
'DATE PAID
'"PESS
Fiat ALICE
W
BLDG PERMIT FLAT
15.00
Lot Area
3
A41M W HARMONY RD
ciFORT COLLINS
Plot File Na.
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Si tp zip 80526
Pbone N223-9616
Off St. Parking
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cantacorLM}a�gyT
REQUIRED INSPECTIONS
CALL 221-6769
A"P3 E HARMONY RD
city FT COLLINS
Stat€O
TO SCHEDULE INSPECTIONS
z'80525
Phon° 223-8873
Soles"26862
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(See reverse side for Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
GL
FNM
SPI
Building Square Footage
No. of Stories
Bldg. Height
^TOTAL FEES
r�
15.00
he K
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
3
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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T4iEPLACE 2 FURNACES
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Case No.
BBA Case No.
09 1
PermilEMBER 13, 1995•
STATUS
GATE -
•
•
7?ARTM6NT
OTC PERM
T IV S
El*,AA
As a condition for the issuan of a permit, I hereby declare that I am an owner or the
owner's agent, authorized perform the proposed work on the property described herein.
I agree to comply with a requirements contained herein, and City ordinances, and State
M al
laws associated with such work. l understand that 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 of such permit.
PI*�
iSignature Date