HomeMy WebLinkAbout330 Derry Dr - Permits/Single Family New - 06/15/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS n�
Permit Type
Work Type
higLi
w
a
Propose lTseING
Use 29ne
Subdivision ❑ PUD Filing
Q
Subdivision/PUD
CD
JH.1INTTI,!rTnN
WTI 14
Lot
Block
Parcel No.
4 9—i r7_}
Last
First
M.I.
MTf7AI ICHARLES
Z
Address
City
3
q-r: "r R S 11 CREEk, np
PORT 'S
State
Zip
Phone No.
rn
Acir?/1
"— 7 7 A
¢
Company Name
Contractor License No.
Or
CUSTOM T T=
-1 yf
Q
Address
City
State
Z
Pin Pay Qss4
;7- rt;s TNCZ
O
Zip
Phone
Sales Tax No.
U
A
.2. . — %.
'r'
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
1468
2
¢
Occupant Load
Occupancy Separation
Area Separation
O
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
C) 1
O Text'.
NEW SINGLE FAMILY RESIDENCE
STOCK PLAN 623
u,
0
Permit No.
Permit Date
Asa condition or1lhe issuance of a permit, I hereby declare that I am an owner
or the owner' agent, authorized to perform the proposed work on the property
described her in. I agree to comply with all the requirements contained herein,
and City ordi antes, and State laws associated with such work. I understand that
such perlynAnay be revoked in the event that issuance was based on incorrect
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 gerpnit.
Category Type
Building Valuation
ACCOUNT
FEE
DATE PAID
PLAN CHECK FEE
68.00
940511
BLDG PERMIT _WITH
454.95
PARKLAND FEE
779.00
TTY GALES USE TA
4012.50
STREET OVERSIZiNG
584.00
WATER P I F'
0 ^I
SE41ER P I F
0.0C
STORM DRAINAGE
:1.00
ELECTRIC UNDER1RO
378.00
16LEFT
SITE SETBACKS
REAR
RIGHT
FRONT
6386
450-2
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
TOTAL FEES 3276 45 S 3 F ^D ZP
Fire Containment :P-! FF iY
Stock Plan Options rR FP E='
46E 623 N ' A FNn FNE NP
WN"; SPI
DEPARTMENT
STATUS
DATE
Z L`NIitiG
ENGINEERING
WATER'& SEWER
LIGHT & POWER
r'=15'�-D
PASSED
PASSED
PASSED
440513
g4CPS16
940615.
940516
Electrical
DYNAMIC _LECTRIC
STREET OVERSIZE
PLAN CHECK
PASSED
PASSED
940C1/
040512
Mechanical
NORTHERN `vOLO AIR
Plumbing
AA PLUMBI'iG
Signature / /// // , � _ ///[/ I I Date
- APPLICANT, TAG -