HomeMy WebLinkAbout4801 Regency Dr - Permits - 11/22/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
uity of rt Coutris BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS 4801 REGENCY DR
Permit Type
GAS LOG/GPIS LIGHTER i
T e
NVWrk EO
Cate ory TYPe
dingle Family Detached
a
Pt
Use use zone
Per!�LL/FINAL
Subdivision [] PUD [� Filing
PERMIT FEES
Suhdivision/PUD
Building Valuation
2100
FRONT
J
Lot
Black
Parcel
6051-05-055
ACCOUNT
FEE
DATE PAID
La.t
WILSON
First
KEITH
M.I.
BLDG PERMIT FLAT
30.00
Lot Area
Z
CITY SALES USE TA
0. 00
Ad , City
�+bb1 REGENCY DR FORT COLLINS
Plaj File No.
2
StateL,D
ZI 80526
Phone No.
Off St. Parking
Q
O
Copsp,'ppy. 0W PLUMBING
Lh11MiUlY
Contractor
I'IY 1`lJ
• , INSPECTIONS
Ad gi13 OREGON TRAIL
ci" FT COLLINS
Start
a
CALL CALL 221-6769
T,9 SCHEDULE INSPECTIONS
Zip 80526
Ph°ne 223-4513
Sales Tax No.
_ (See rdVbrse-si— f for
Inspect�n DesCdptlon)
Construction Type
Occupancy Group
Fire Sprinkler
-
Building Square Footage
No. of Stories
Bldg, Height
TOTAL FEES
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
No. of Dwolling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Op[ions
O
Z
"'tURNACE REPLACEMENT
0-
ue
INSTALLATION OF "PETERSON" GAS LOGS.
0
ZBA Case No. BBA Case No.
PerontNo 0933320 PermlNii�EMBER 22,1 1993
DEPARTMENT
STATUS
DATE
• •
i - r
VIC PER
Electrical
As a condition fo he issuance of a permit, I hereby declare that I am an owner
or the owner a, Fit, authorized to perform the proposed work on the property
described hgYein. I agree to comply with all the 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
Mechanical
information. This; permit shall become null and void if the work authorized by
such permit is noF commenced, suspended, abandoned, or not inspected within
180 y P permit.
days from t ate o c e
Plumping
�
Signatura_ �—��. _ �
----
Date
OHIGINAL - FILL. BLUE - OFFICE, CANAHY - SALESIAX, PINK - APPLICAN I, TAG - FIELD CAHU