HomeMy WebLinkAbout626 Miller Dr - Permits - 01/01/2000SETBACKS
Community Planning & Environmental Services BUILDING P E RM I T
gh
Building Permits & Inspections Division
REAR
P.O. Box 580 221-6769
-
38
CitvofF Fort Collins, CO 80522-0580
IT RIGHT
JOB SITE ADDRESS 626 MILLER DR - 80521
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FRONT
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Subdivision PUD
Filing
Subdivision/PUD
Building Valuation 1750
0 TO EXIST
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Lot
Block
P°011j1-15-002
ACCOUNT
Fla ':
DAMPAID':.
LMEEMAN
First MIRIAM
M.I.
PLAN CHECK FEE
0.00
990615
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B.LDG PERMIT WITH
39.83
99061.5
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PORT COLLINS
Plat File Na.
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3
CIT�qY� SALES SE�yT�A
26.25
99061
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C�UNTY SALES TAX
STORMWATER 76
6 . 56
0.00
990615.
990615
Off St. Parking
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Zip
80521
Phone No.
O
ConttAorCUyfCd(p
REQUIRED INSPECTIONS
°�% S. LEMAY 0A3-163
city
FORT COLLINS
Sta
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CALL 221-6769
TO SCHEDULE INSPECTIONS
O
z60525
Phone 970-567-0358
Sales Tm No.
(See reverse side for Inspection Description)
u
Construction Type
Occupancy Group
Fire Sprinkler
Fireplace/Stoves
SBF
FD
UGP
Building SSupr9 Footage
Basement Square Footage
No. of Stories
Building Height
- ie K-
RM
_ RP
FR
RE
FP
_
OccupancyTI 0000d4 -
Occupancy,SeparationArea
Separation-
FireContainmentGL
FNB
FNM
FNE
SPI
FNP
IN
3
No. o�Dwelling Units
No. of Bedrooms
No. of Bathrooms
Stock Plan/slptions
TOTAL FEES
-12.64
ZO
Teft2 X 12 PATIO COVER
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ad
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0
ZBA Case No.
BRB Case No.
DEPARTMENT
ZONING
STATUS',
PASSED
0992674
Permit DONNE 15, 1999
DATE
990525
SUB CONTRACTORS
Elgct/a
y
As a condition for the issuance of a permit, I hereby declare that I am an owner or the
p Y
PL0 CHECK
PASSED
990601
owner's agent, 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
§T0 , A E R F.P.
PASSED
49906+25
meocal
laws associated with such work. I understand that such permit maybe revoked in the event
that issuance was kused on incorrect information. This permit shall become null and void if
Plamb;np
the work autho eia by such permit is not commenced, suspended, abandoned, or not
N/A
inspected wi i 0 days fro the date such permit.
Rootmy
N/ A
Dot�T
Signature