HomeMy WebLinkAbout613 Saint Michaels Dr - Permits/Air Conditioner - 06/27/2006Community Planning & Environmental Services
Building & Inspections Division
SH
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 613 SAINT MICHAELS DR
PERMIT TYPE ❑c
Last Name, First, Middle Initial
jw Address
City/State
➢� Zip Phone No.
80525 223-0114
Front Setback Rear Setback
0
Z Right Side Setback Left Side Setback
Z
0 Plat File No. ZBA Case Number Zoning District
a
wLot Block Lot Area Parcel No.
J
Company Name Contractor License No.
O Phone Supervisor Cert. No. -
V
Electrical License No. nic W Mechaal License No.
n T
Roofing License No.
H
Z Framing License No.
V
m Plumbing License No.
N
Concrete License No.
ADD ON AIR CONDITIONING
W
I —
Ga
Alba
BUILDING PERMIT
Building Valuation
B060314$ 1ACCOUNT
PERMIT DATE
05127120106 Building Permit w/o Su
EVEL CATEGORY TYPE
ISSU FUL Residential
Construction Type Occupancy Group
wp No. of Stories Building Height
OBuilding Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
CL FNM
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.
FEE {{ DATE PAID
�IJ. UU J/Cl/U
Print name
Signature
Date
TOTAL FEES
1
a
wLot Block Lot Area Parcel No.
J
Company Name Contractor License No.
O Phone Supervisor Cert. No. -
V
Electrical License No. nic W Mechaal License No.
n T
Roofing License No.
H
Z Framing License No.
V
m Plumbing License No.
N
Concrete License No.
ADD ON AIR CONDITIONING
W
I —
Ga
Alba
BUILDING PERMIT
Building Valuation
B060314$ 1ACCOUNT
PERMIT DATE
05127120106 Building Permit w/o Su
EVEL CATEGORY TYPE
ISSU FUL Residential
Construction Type Occupancy Group
wp No. of Stories Building Height
OBuilding Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
CL FNM
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.
FEE {{ DATE PAID
�IJ. UU J/Cl/U
Print name
Signature
Date
TOTAL FEES
1
ADD ON AIR CONDITIONING
W
I —
Ga
Alba
BUILDING PERMIT
Building Valuation
B060314$ 1ACCOUNT
PERMIT DATE
05127120106 Building Permit w/o Su
EVEL CATEGORY TYPE
ISSU FUL Residential
Construction Type Occupancy Group
wp No. of Stories Building Height
OBuilding Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
CL FNM
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.
FEE {{ DATE PAID
�IJ. UU J/Cl/U
Print name
Signature
Date
TOTAL FEES
1