HomeMy WebLinkAbout2901 Ninebark Dr - Permits/Sprinkler - 03/23/2006Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 6 01 1 7 0
ACCOUNT
FEE
-
DATE PAID'
JOB
SITE ADDRESS 2901 NINEBARK DR
PERMIT DATE 0 J �� il G .�
/ j G0
Building Pertait w/o Sub
City Sales/Use lax
County Sales/Use Tax
$I5.
$8,
$2.
0 3/23/0
5 3/23/0
q o
8 3/2�/0
PERMIT
TYPE
SPKLR-R Residential Sprinkler System
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residenti
W
Last Name, First, Middle Initial
BUCK KEITH R/AMANDA R
Construction Type
Occupancy Group
w
Address
2901 NINEBARK DR
City/State
FORT COLLINS, CO
LU
p No. of Stories
O
U
Building Height
0
Phone
Zip 80525
No.
377-9871
Building Square Footage
p
Stock Plan/Options
Front Setback Rear
Setback
• • •
Z
Right Side Setback Left Side Setback
Z
2
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
S P K
Subdivision/PLID
Filing
Q
w
J
Lot
Block
Lot Area
Parcel No. 8605107055
O
Company Name Contractor
o.
License NO3
Address
City/State
H
0
Phone
Supervisor Cert. No.
U
Electrical
License No.
W
Mechanical
License No.
G
Roofing
License No.
0
Framing
License No.
50
Plumbing
License No.
y
PLUMBING HTC
MP 221
Concrete --tlicense
No.
INSTALLATION OF BACK FLOW AND SPRINKLER LINE
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.
Print name of owner/agent
Signature Date ( TOTAL FEES I 1 I