HomeMy WebLinkAbout812 Rochelle Cir - Permits/Single Family New - 04/17/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
(A*ft 221-6769
REAR
BUILDING PERMIT
7 5
LEFT RIGHT
JOB SITE ADDRESS 812 ROCHELLE CR
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Subdivision PUD Filing 3
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Building Valuation
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Lot 65
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Parcel No.
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PLAN CHECK FEE305.83
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920311
Lot Area 95C16
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CO 80525 N226-6oac
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STREET O"JERST7iNG 584.00
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Company Name Contractor License No.
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REOUIRED INSPECTIONS
Address City State
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CALL221-6769
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TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
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Zip
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Sales Tax No.
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Occupant Load
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Occupancy Separation
Area Separation
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Fire Containment
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No. of Dwell Lg Units
No. of B�droans
No. of athrooms
Fireplace/Stpves
Basement 14bh
Stock Plan
Options
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ZBA Case No. BBA Case No.
Permit No.. 0920945 Perm Hi!'(IL 17 199
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As a coridn for i othe issuance of a permit, 1 hereby declare that I am an owner
or the owner's agent, authorized to
ge perform the proposed work on the property
ALS AND
r LOT ARE
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Electrical
described herein. I agree to comply with all the requirements contained herein,
and City ordinances, and State laws associated with such work. I understand that
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Mechanical
such permit may be rev ed in t event that issuance was based on incorrect
LIGHT 'aPOWER PASSED
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information. This permi shall be a null and void if the work authorized by
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such permit is not comm ced, su nded, abandoned, or not inspected withinki
180 days from the date of uch perI
= " 277+" `
Plumbing
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Signature Date
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ORIGINAL - FILE, BLUE - OFFICE, CANARY - SA AX, PINK - APPLICAKLLTAG - FIELD CA D