HomeMy WebLinkAbout912 Rocky Mountain Way - Permits/Gas - Log, Line, Pipe - 01/07/1992DEVELOPMENT SERVICES/BUILDIN(13 PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-0769
REAR
tt_ BUILDING PERMIT
JOB SITE ADDRESS 912 ROCKY MOUNTAIN WAY
LEFT RIGHT
PeSA§peLOG/GAS LIGHTER
1hWirr�e CateffIftLE FAMILY DETACHED
a
P"Rt'SMENTIAL
Use Zone Pent,rL eL/FINAL
Subdivision PUD
Filing
PERMIT FEES
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Subdivision/PUD
Building Valuation 828
7
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FRONT
Lot
Block
Parce19°7 262 —1 7 —U 08
.ACCOUNT
FEE
DATE PAID
a�SRIFFITH
Fir` MICHflEL
M.I. L
BLDG PERMIT FLAT
15.00
920107
Lot Area
CITY SALES USE TA
0.00
920107
AdCIT2 ROCKY MOUNTAIN
Ci`y FT COLLINS
Plat FileN°.
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Stat°CO
Zip BOS26
Phone N223-0407
Off St. Parking
C'"TENDLY FIRE, INC
Contractor9cc1s)l
REQUIRED • NS
0
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`"'1802 LAPORTE AVENUE
City FT COLLINS
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CALL 221-6769
TO SCHEDULE INSPECTIONS
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0
(See reverse side for
Zip 80524
Phone
Sales rax No.
u
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
GL,
L G
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
pp
15.001
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
O
�y
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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`INSTALLATION OF "VALOR" GAS LOG. TAX PAID @ RETAILERS.
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ZBA Case No.
BBA Case No.
DEPARTMENTAL
Perine No. 0920061
PermJOeNUARY ir9
F1 7, 192
DEPARTMENT
ST
PEN
III
• • RS
Electrical
11
As a conditi f6r the issuance of a permit, 1 hereby declare that I am an owner
or the own 's agent, authorized to perform the proposed work on the property
described Werein. I agree to comply with all the requirements contained herein,
and City dinances, and State laws associated with such work. I understand that
Mechanical
such pe it may be revoked in the event that issuance was based on incorrect
inform9tion. This permit shall become null and void if the work authorized by
such permit is not co m anted, suspended, abandoned, or not inspected within
180 days from t f such pe it.
Plumbing
'�'
Signature
Date ( Z•'rj•—;f
ORIGINAL - FILE, BLUE - OFFICE, CAN!) WY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD