HomeMy WebLinkAbout528 Skyline Dr - Permits - 12/02/1996SETBACKS
Community Planning & Environmental Services
Building Permits 4c Inspections Division BUILDING PERMIT
REAR
P.O. Box 580 221-6769
city of F Fort Collins, CO 8P522-0580
LEFT RIGHT
JOB SITE ADDRESS 528 SKYLINE DR - 80521
Permit Type
Work Ty a Cate ory TYPE
RE—KOOF
ALTERATION FAMILY DETACHED
FRONT
PRESIDENTIAL
Use Zone Pem,tFULL/FINAL
J
Subdivision PUD
Filing
PERMIT
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Subdivision/PUD
Building Valuation
8620
J
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
HADWICK
First
DOROTHY
M.I.
PERMIT NON S
74.50
961202
Lot Area
ad
Z
yB�LDG
CITY SALES USE TA
:961M
Address
Cit
FORT
Plat File No.
3
528 SKYLINE DR
COLLINS
COLNT'Y SALES TAX
961282'
BCO zp 80521
Company No a
B & M �FING
Phone No.
48288899
Contractor License No.
R-15
Off St. Parking
04
o
REQUIRED INSPECTIONS
Address
216 COMMERCE DR
Ciry
FT COLLINS
ISlate
CO
CALL 221-6769
TO SCHEDULE INSPECTIONS
zi Phone sobs Tax No.
�0524 482-5964 25321
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(See reverse side for Inspection Description)
Construction Type Occupancy Group Fire Sprinkler Fireplace/Stoves
I-
RF
Building Squad Footage
Basement Square Footage'
No. of Stories
Building Height
Ne
Occupancy Load
Occupancy Separation
Area Separation
Fire Containment
1'
No o Dwelling Units No. of Bedrooms
6
No: of Bathrooms
Slack Plan/ ptions
TOTAL FEES
3
O
TOMOVE 1 LAYER OF ASPHALT COMP SHINGLES ADD NEW
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a
oc
V
w
O
ZBA Case
No. FIRS Case No.
DEPARTMENTAL,
REVIEW
Permit11
• 0964306t ECEMBER 2, 1996
DEPARTMENT
STATUS
OTC PERMIT
DATECONTRACTORS
ISS
El ctr I
N%A
As a condition for the issuance of a permit, ( hereby declare that I am an owner or the
owner's agent, authorized to perform the proposed work on the property described herein.
Mechanical
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 information. This permit shall become null and void if
Plumbing
the work authorized by such permit is not commenced, suspended, abandoned, or not
N/A
inspected within 180 days from the date of such permit.
Other
N/A
Signature _ Date