HomeMy WebLinkAbout1920 W Lake St - Permits/Addition or Alteration - 10/17/2000Community Planning & Environmental Services BUILDING PERMITPERMIT
FEES
Building &Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation S800•00
Fort Collins, CO 80522-0580
W016232 c,tyorF Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS im wLAKEsr FTCO
PERMIT DATE 10A7/2000
BurdYq Fwmil W/9tb•
4j 3*6v" Tax
CWA* SW*W" Tec
$oo 50
$1Z010
$y 20
l di
1 W
1011
PERMIT
TYPE
RALAD F ES ALTERATTOWADDIITON
PERMIT LEVEL
ISSt/�71Lwsaww
CATEGORY TYPE
Last Name, First, Middle Initial
Construction Type
Occupancy Group
Z
Address
City / Slate
p No. of Stories
Building Height
3
FORT COLLMI3 CO
0
V
Zip Phone
No.
Building Square Footage Stock PIaNOptions
O
W525
-
Front Setback Rear
Setback
• INSPECTIONS
Z
• •
Right Side Setback Lett Side Setback
Z
TO SCVIEDULEINSPECTIONS
Plat File No, ZBA Case Number Zoning District
(See reverse sl a or Inspection Description)
Subdivision/PUD Filing RL
SSF RP RM
GL IN F
Lot Block Lot Area Q Parcel No.
97i5306M
Name Contractor License No.
FW FW FM
F0 SPI LOP
OCompany
QAddress
FR FP RE
City/State
Supervisor Cart. No.
OPhone
v
Electrical License No.
ix
0
Mechanical
License No.
Roofing
License No.
Z
Framing
License No.
m
Plumbing
License No.
V
INSTAL. EGRESS WINDOW IN BASEMENT. HOUSE CAN BE OCCUPIED BY ONLY 1 FAMILY
AS DEFINED IN ARTICLE 5 OF THE LAND USE CODE.
WORK ALREADY COMPLETED - (NOTICE RECD ON BUILDING CODE VIOLATION)
Lf
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
commenced,
suspended, abandoned or not Inspected within 180 days from the date of such permit or from the date of the last inspection.
name of ownedagent Signature Date
TOTAL FEES
$55.70
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