HomeMy WebLinkAbout6821 Montserrat Dr - Permits/Sprinkler - 06/29/2000Planning & Environmental Services BUILDING PERMIT
Building & Inspections Division
ghCommunity
P.O. Box 580 281 N. College Ave.
Building Valuation $1,000.00
Fort Collins, CO 80522-0580 B0012790
Cityoff?ortCollins phone (970) 221-6760 Fax (970) 224-6134
JOB
SITE ADDRESS 6821 MONTSERRAT DR PTCO
PERMIT DATE 05/2312000
Building P.nnit W/Subs
$15 00
06t29/200(
PERMITTYPE
SPKLR-R Residential Sprinkler System
PERMIT LEVEL
IssU_FUL
CATEGORY 7VPE
RESIDENTIAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
RICHMOND HOMES
Z
Address City/ State
wp No. of Stories
Building Height
35e31-STAGECOACH RD STE 25 LONGMONT, CO-
Zip Phone
No.
Building Square FootageOioi
W504
-
Front Setback Rear
Setback
Z
Right Side Setback Left
Side Setback
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2
(See reverse si en Description)
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Plat File No. ZBA Case Number
Zoning District
Subdivision/PUD
Filing
SPK
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Lot Block Lot Area 0 Parcel DIo.182120rJ0
Company Name _Contractor License No.
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Address
City/State
Supervisor Cert. No.
OPhone
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Electrical License No.
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Mechanical
License No.
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Roofing
License No.
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Framing
License No.
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ADVANCED
-Licens"o:
PLMBG 6 HTG
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SPRINKLER SYSTEM
INSTALLED BY GREEN SCENE LANDSCAPING
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3445 W. 115TH AVE
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WESTMINSTER, CO 80504
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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
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7.1, !it':
commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit or from the date of the last inspection.
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Print
name of owner/agent Signature Date
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