HomeMy WebLinkAbout736 Rocky Mountain Way - Permits/Sprinkler - 04/03/2006Planning &Environmental Services BUILDING P E RM I TPERMIT
FEES
Building & Inspections Division
imCommunity
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
Cif" of Fort coffins phone (970) 221-6760 Fax (970) 224-6134 B 0 6 01 3 9 3
0.00
ACCOUNT
FEE
DATE PAID`
JOB
SITE ADDRESS 736 ROCKY MOUNTAIN WAY
PERMIT DATE
04/03/2006
Building Perawit w/o Sub
$15.
0 4/3/0
PERMIT
TYPE
SPKLR-R Residential Sprinkler System
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residentia
Last Name, First, Middle Initial
Construction Type
Occupancy Group
STUTZMAN JASON UKRISTA BRASW
w
Address
736 ROCKY MOUNTAIN WAY
City/State
FORT COLLINS, CO
p
No. of Stories
Building Height
O
Zip 80526-2615
490-2345 Phone No.
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
• , •
• •
Z
Right Side Setback Left Side Setback
2 0
Plat File No.
ZBA Case Number Zoning District
(See reverse side for Inspection Description)
S P K
Subdivision/PUD
Filing
a
wLot
Block Lot Area
Parcel No.
J0
9726220021
OCompany
Name Contractor License No.
Address City/State
OPhone
Supervisor Cert. No.
V
Electrical
License No.
ne
Mechanical
License No.
C
Roofing
License No.
0
Framing License
No.
Plumbing License
No.
N
CASS PLUMBING 8 HEATING
MP 292
Concrete i
��en�e u,.
SPRINKLER SYSTEM TO BE INSTALLED BY WATERBOY SPRINKLERS,1216 N SHIELDS ST, FORT
COLLINS,C0,80524 970-484-4202
PROVIDE REQUIRED BACKFLOW PREVENTOR AND BACKFLOW TEST RESULTS
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
Date
COTAL FEES 1 $15.0