HomeMy WebLinkAbout641 E Vine Dr - Permits - 01/01/2000SETBACKS
Community Planning & Environmental Services BUILDING PERMIT
Building Permits & Inspections Division
REAR
P.O. Box 580 221-6769
Cityof Fort Collins
Fort Collins, CO 80522-0580
LEFT RIGHT
JOB SITE ADDRESS
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Permit Type
Work Type Category TYPE
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Proposed Use
Use Zone Permit Level
FRONT
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Subdivision PUD
FilingPERMIT
FEES
Subdivision/PUD
Building Valuation
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Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
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First
M.I.
Lot Area
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Address
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Plot File No.
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State Zip
Phone No.
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Company Nome
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Contractor License No.
REQUIRED INSPECTIONS
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Address
City
State
CALL 221-6769
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TO SCHEDULE INSPECTIONS
zip Phone sales Tax No.
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(See reverse side for Inspection Description)
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Construction Type Occupancy Group Fire Sprinkler Fireplace/Stoves
Building Square Footage
Basement Square Footage
No. of Stories
Building Height
10
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Occupancy Load-
-Occupancy Separation
Area -Separation
fire Containment-
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No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
$lock Plan/Options
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0TOTAL
FEES
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ZBA Case
No.
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Permit
Date
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DEPARTMENT '
STATUS
DATE
SUB
CONTRACTORS
Electric,
As a condition for the issuance of a permit, I hereby declare that I am an owner or the
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owner's th t a en, authorized to perform the proposed work on the property described herein.
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Mechanical
A
N/A
I agree to comply with all the requirements contained herein, and City ordinances, and State
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laws associated with such work. I understand that such permit maybe 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.
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Signa}ure Date
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