HomeMy WebLinkAbout614 Sedgwick Dr - Permits/Air Conditioner - 05/04/2001Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. —
Fort Collins, CO 80522-0580
Phone (970) 221-6760 Fax (970) 224-6134 130102341
Building Valuation
$ 71 93
-'-
ACCOUNT
.FEE
DATE PAID -
JOB
SIT9 ADDRESS 614 SEDGWICKDR
PERMIT DATE 05/04/2001
Building Permit w10 Subs
$15.00
5/4/01
PERMIT
TYPE
MECH Mechanical Akeration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
RESIDENTIAL
Last Name First Middle Initial
KIE1ZMANN, GREGG/MARY JO
Construction Type
Occupancy Group
ce
Z
"'
Address
614 SEP"CK DR
city I Sta
SORT COLLINS. CO
0 No. of Stories
p
Building Height
3
O
V
zip W525-1022 Phone
No. 970-2W9M
Building Square Footage0 Stock Plan/Options
Front Setback Rear
Setback
Z_
Right Side Setback Left Side Setback
Z
•
• •
2
Plat File No. TZSA Case Number Zoning District
(See reverse side or Inspection Description)
Subdivision/PUDFiling
GL FMM
Q
w
.
Lot Block Lot Area O Paroel No.9614110030
Name Contractor License No.
OCompany
V
Address
City/State
r-
Z
Phone Supervisor Cert. No.
V
Electrical License No.
AAMPCO ELECTRIC ME-407
0
Mechanical
POUDRE VALLEY AIR
License No.
H-835
Roofing
License No.
0
Framing
License No.
m
NPlumbing
License No.
INSTALL AIR CONDITIONER HUMIDIFIER AND THERMOSTAT.
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 Date77
a
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