HomeMy WebLinkAbout3522 Rocky Stream Dr - Permits/Sign - 11/09/2006Community Planning &Environmental Services BUILDING PERMITPERMIT
~' Building & Inspections Division
FEES
x
Buildin Valuation
P.O. Box 580 281 N. College Ave.
s
Fort Collins, CO 80522-0580
city of F� Phone (970) 221-6760 Fax (970) 224-6134 I�
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ACCOUNT
FEt
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
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'' 1,/QQ,/2006
8uilding_Permit- w/o Su
s__ _ $158.50___
11/9/0
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
SIGN Sin
s City Sales/Use Tax-
$334.25
-- 11/9/
Last Name, First, Middle Initial
Construction Type
Occupancy Group
W
_County Sales/Use. Tax
$89.13_
11/9/0
Address
City/State
p No. of Stories
Building Height
Z
._
V
0
_
Zip Phone
No.
Building Square Footage
Stock Plan/Options
Front Setback Rear
Setback
_Z
Right Side Setback Left Side Setback
Z
• •
Plat File No. ZBA Case Number Zoning District
Subdivisioni Filing
(See reverse side for Inspection Description)
Q
wLot
J
A SIGN INSPECTION IS REQUIRED
_
Block Lot Area Parcel No.
Name Contractor License No.
OCompany
t-
VIn r
Address City/State
1—
4496 RENTS DR
WINUOR, U
Please call Zoning, at (970) 416-2745, to
o
Schedule an inspection when installation is
Phone supervisor Cert. t. No.
Ul
970 203 9292
Electrical License No.
complete.
If an electrical subcontractor is required to
W
provide service to the sign, ALSO call (970)
Mechanical
License No.
0
221-6769 at completion of that work for the
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required electrical inspection.
Roofing
License No.
ZO
Framing
License No.
m
7
Plumbing
License No.
N
CA
y
V
Concrete -
License No.
INSTALL SUB ENTRY SIGN 33.25 SQ FT
THE SANTUARY AT FOSSIL LAKE
OVERALL HEIGHT 610" SETBACK 22'
w
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 inspected within 180 days from the date of such permit or from the date of the last inspection.
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TOTAL FEES
Print
name 0 owner/agent Signature Date
$581
8