HomeMy WebLinkAbout212 Dartmouth Trl - Permits/Water Heater - 07/01/1991i
DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
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P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-676
REAR
=ty of Fmt Loam BUILDING ERMIT
JOB SITE ADDRESS
212 DARTMOUTH TR
LEFT RIGHT
F—
Permit Type
Work Type Category Type
WATFIR HEATER
NEW SINGLE FAMILY DETACHED
w
a
Proposed Use
Use Zone Permit Level
FULL/FINAL
Subdivision PUD ❑ Filing
PERMIT FEES
J
Subdivision/PUD
Budding Valuation
u
J
554
FRONT
Lot
Block
Parcel No,
ACCOUNT
FEE
DATE PAID '.
Last
First
M.I.
Lot Area
KOTICH
H
BLDG PERMIT FLAT
15.00
910701
z
Address
ctv
CITY SALES USE TA
0.00
910701"
Plat File No.
O
State
Zip
Phone No.
Off St. Parking
Company Name
Contractor License No.
INSPECTIONS
OREQUIRED
CALL 221-6769
Address
lot S.
City
FT COLLINS
State
CO
Z
TO SCHEDULE INSPECTIONS
zip
Phone sales Tax No.
0
(See reverse side for
—00 0
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
15.`00
_..
FNP:-.,.,:,—„
- — — ^
Y
O
Occupant Load
P
Occu anc Separation
P Y P
Area Separation
Fire Containment
—'
ty
No. of Dwelling Units
No. of Bedrooms
Fireplace/Staves
Basement
Stock Plan
Options
O
Z
O Text:
a 50 GALLON WATER HEATER
U
N
ZBA Case No, BBA Case No.
Permit No. Permit Date
0911759 DULY 1 1991 DEPARTMENT STATUS DATE
• • '
OTC PERMIT
ISS
Electrical
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 the
Mechanical
requirements contained herein, and 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 information.
Plumbing
Signature
Date
GINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD