HomeMy WebLinkAbout501 Sand Dollar Ct - Permits/Gas - Log, Line, Pipe - 11/14/1990I
- DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
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P.O. BOX 580, FORT COLLINS, CO 80522-0580
L 221-6769
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City r BUILDING PERMIT
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JOB SITE ADDRESS
Sol SAND DOLLAR CT
LEFT RIGHT
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Permit Type
Work Type Category Type
GAS LOG/GAS LIGHTER
NEW SINGLE FAMILY DETACHED
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Proposed Use
Use Zone Permit Level
a
RESIDENTIAL
FULL/FINAL
Subdivision PUD
Filing
U Al V LTA
Q
Subdivision/PUD
Building Valuation
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LU
75
FRONT
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
First
M.I.
Lot Area
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RUDOLPH
RON
BLDG PERMIT FLAT
15.00
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CITYSA�rESUS,. �T.A.,_.
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Address city
Plat File No.
501 SANDOOLLAR FORT COLINS
State Zip Phone No.
Off St. Parking
f
CO 80525
Company Name Contractor License No.
°
BERSHINSKY P & H MP-143
REQUIRED INSPECTIONS,
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Address City
CALL 221-6769
F
1336 COULTER FT COLLINS CO
TO SCHEDULE INSPECTIONS
Zip Phone Sales Tax No.711
_
(See reverse side for
805241177
Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
GL
LG
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
15.00
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
LL
O
p
Text:
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GAS LINE AND LOG INSTALLATION -
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7,�...
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ZBA
Case No.
BBA Case No.
Permit No.
0902341
Permit Date
NOVEMBER 14, 1990
DEPARTMENT
-
STATUS
BATE
SUB CONTRACTORS
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ElectnCal
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 `��� _ -"�—"'
- - -- �-"
--
Mechanical
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 information. _ _____._ __-.
Plumbing
Signature/.� '� //C s . _/. Date %% /S �� #
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