HomeMy WebLinkAbout715 W Mountain Ave - Permits/Mechanical - 08/24/2006Community Planning &Environmental ServicesPERMIT
l�'11�?-lW�Building &Inspections Division BUILDING PERMIT
FEES
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 B0601083
$4,615.00
ACCOUNT
FEE
DATE PAID
SITE ADDRESS 715 W MOUNTAIN AVE PERMIT DATE
OE/24/2C)Of:'>
JOB
Building Permit w/o Sub
a15.
0 8/24/0
PERMIT
TYPE
MECH Mechanical Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residenti
Last Name, First, Middle Initial
SHUFF, JOHN E; HEIDI
Construction Type
Occupancy Group
oe
fAddress
000 DRIFTWOOD DR City/State
FORT COLLINS, CO
uj
O
No. of Stories
Building Height
O
Zip 80525-3108 Phone No.
581-6788
V
Building Square Footage Stock Plan/Options
0
Front Setback
Rear Setback
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Z
Z
• •
Right Side Setback Left Side Setback
2
Plat File No.
ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
u L F N M
Q
wLot
Block Lot Area arcel No.
91711312005
N n�u t o c CContractor License No.
1 OU„ nA01 SUPECIALIST1' LLC H 1916
ceCompany
R
Address City/St t
910 !d, OAK ST �6RT COLLINS, CO 80521
Phone 3, 0 30B 04B } Supervisor Cert. No.
V
Electrical License No.
W
Mechanical
HYD�ONIC SPECIALISTS, LLC
License No.
H 1916
Roofing
License No.
E—
Z
Framing
License No.
V
Plumbing
License No.
N
Concrete
License No.
CHANGE OUT RESIDENTIAL BOILER
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—
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.
name of owner/agent Signature Date
Print
TOTAL FEES
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