HomeMy WebLinkAbout1431 Lakeshore Dr - Permits/Mechanical - 12/03/2001W Community Planning &Environmental Services BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-05 80
$ 5, 0 6 1 0 Q
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 01 a 7 4 7
ACCOUNT
FEE
DATEPAID'
JOB
SITE ADDRESS 1431 LAKESHORE DR
PERMITDATE 12/03/2001
Building Permit
w $30.00
12/3/01
PERMITTYPE
MECH Mechanical Alteration
PERMIT LEVEL ISSU_FUL
CATEGORY TYPE RESIDENTIAL
La a q,4ir$tMiddlI,pjfial, „e ES D
Construction Type
Occupancy Group
LLAKUEMSHORE
LU
Z
Addir4J1 DR
City / StMORT COLLINS. 00
p No. of Stories
Building Height
°
V
Zip80525-2328 Phone
No. 223-0436
Building Square Footagg� Stock Plan/Options
lJ
Front Setback Rear
Setback
•
Z_
Right Side Setback Left
Side Setback
Z
• I •
Plat File No. ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
Subdivision/PUD
Filing
GL FNM
_
Q
0
J
Lot Block Lot Area 0 Parcel19730206118
Name Contractor License No.
OCompany
V
-
-
Address
City/State
H
Z
Phone Supervisor Cert. No.
V
Electrical License No.
Me
LIRE VALLEY AIR
License No.
H-835
Roofing
License No.
t—
-
Z
0
Framing
License No.
co
cn
Plumbing
License No.
Concrete
License No.
r
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.
TOTAL FEES
name of owner/agent Signature Date
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