HomeMy WebLinkAbout5308 Golden Willow Dr - Permits/Sprinkler - 09/12/2000Community Planning Environmental Services BUILDING PERMIT
I PERMIT FEES
Building &Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation $1,000.00
Fort Collins, CO 80522-0580 B0015545
c,�votF Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 5308 GOLDEN WILLOW DR FTCO
PERMIT DATE 09/12/200D
Building Permit VvlSubs
S15 (jb
09! i 2f200
PERMIT
TYPE
SPKLR-R Residential Sprinkler System
PERMIT LEVEL
Issu_PUL
CATEGORY TYPE
RESIDENTIAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
KOLLAR MARK DAVID
Z
Address
City / State
p No. of Stories
Building Height
3
5308 GOLDEN WILLC'N DR
FORT COLLINS CO
O
V
O
Zip Phone
80528
No
207-1499
Building Square Footage
Stock Plan/Options
0
Front Setback Rear
Setback
Z
Right Side Setback Left Side Setback
Z
2
Plat File No. ZBA Case Number zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
SPK
J
Q
wLot
Block Lot Area D Parcel
M06475084
Name Contractor License No.
OCompany
V
a
Address City/State
OPhone
Supervisor Cert. No.
V
Electrical License No.
Mechanical
License No.
Roofing
License No.
�
O
V
Framing
License No.
m
Plumbing
License No.
h
INSTALL SPRINKLER SYSTEM
INSTALLED BY HOMEOWNER
CITY WATER
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 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 or incomplete 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 or from the date of the last inspection.
name of owner/agent Signature Date
TOTAL FEES
$15.00
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