HomeMy WebLinkAbout430 Derry Dr - Permits/Footing and Foundation - 03/21/1995SETBACKS
Community Planning &Environmental Services
BUILDING
PERMIT
Building Permits & Inspections Division
REAR
PO. Box sso
City Fen Collins
221-6769
of
Fort Collins, CO 80522-0580
JOB SITE ADDRESS
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Permit Type
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Category TYPE
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Pertiift of
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Subdivision El PUD
Filing
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Subdivision/PUD `
Building Valuation
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ompany Name
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REQUIRED INSPECTIONS
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CALL 221-6769
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TO SCHEDULE INSPECTIONS
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Zip
Phona
Sales Tax No.
(See reverse side for Inspection Description)
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Construction Type
Occupancy Group
Building Square Footage
No. of Stories
Bldg. Height
FEES
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6ccupant Load
Occupancy Separation
Area Separation
Fire Containm
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No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Slovns
Basement
Stock Plan
Options
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NEW SINGLE PAMI_Y RESIDENCE
SUCK PLAN t733
OPTIONS: NINE
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ZBA Case No.
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Permit Date
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Electrical
As a condition for the issu a of
ermit, I hereby declare that I am an owner or the
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owner's agent, authorize to perform the proposed work on the property described herein
I agree to comply with the requirements contained herein, and City ordinances, and State
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laws associated with s ch work. I understand that such permit may be revoked in the event
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Mechanical
that issuance was based on incorre formation. This permit shall become null and void if
the work authonzed by such mft is of commenced, suspended, abandoned, or not
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inspected within 180 da s m the a of such ermit.
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Signature
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