HomeMy WebLinkAbout501 E Prospect Rd - Permits - 07/30/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DyVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
ttye tt a trig BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS_--
F.
Permit Typo
Work Type Category Type
wProposed
Use
Use Zone Pormit Leval
SubdivisionEl PUD FilingMUM
Building valuation
a —'
Subdivision/PUD
w
" _
FRONT
J
Lot
Block
Pareel Nu.. _
— _
ACCOUNT
FEE
DATE PAID
last _
First _
M.I.
Lot Area
., ,
Address
City
Plat File No,
Z
O
Stare Zip
Phone No.
Off St. Parking
2 Company Name
Contractor License No.
REQUIRED INSPECTIONS
O
CALL 221-6769
Q Address
city
State
_
s' =
TO SCHEDULE INSPECTIONS
(See reverse side for
o
Zip
Phone _ _
Sales Tax No.
_ - _
,
Inspection Description)
Constnw5on Type
Occupancy Group
Fire Sprinkler
Building Squaro Footage
No. of Stories
Bldg_ Height
TOTAL FEES
Y
Occupant Load
Occupancy Separation
Area Separation
Fire Containment'
O
LLNo. of Dwelling UnitsNo.
of Bedrooms No. of Bathrooms Fireplace/Stoves
Basement
Stock Plan
Options
O
4
ZO
Texd;_ _
U
BBA Case No_DEPARTMENTAL
REVIEW
DEPARTMENT
STATUS
DATE
rZRA7N.
Permit Date
Electrical
#'sagent,
As a conditithe issuance of a permit, I hereby declare that 1 am an owneror
the owne 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 of such permit.
-.
Plumbing
Signature %�J "/ ��1� Date�7
ORIGINAL - FIL F. RI HE - OFFICE. CANARY/- SALESTAX. PINK - APPLICANT. TAG - FIELD CARD