HomeMy WebLinkAbout5621 Falling Water Dr - Permits/Footing and Foundation - 09/21/2006Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
wilding Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
FALLING WATER DR
09121/2006Plan
Check Fee
_ $6]1.
5. 3/5/0
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
DetachedNSFRD New SF Res
Building Permit F&F
$150.
0 9/21/0
Last Name, First, Middle Initial
Construction Type
Occupancy Group
Z
Address
City/State
0p No. of Stories
Building Height
O
30
O
Zip Phone
No.
Building Square Footage
Stock Plan/Options
Front Setback Rear
Setback
0
%
Z
Right Side Setback Left Side Setback
z
5 5
• •
N
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
LIVIN
Subdivision/PUD Filing
S B F F D S P I
J
Lu
RCP S N R W T R
Lot Block Lot Area Parcel No.
J
1013
Name Contractor License No.
OCompany
V
n n d
Address City/State
F
Z
0
333
Phone upervisor Cert. No.
Electrical License No.
nCl r nME
,
:a "
License No.
at:Mechani
Cn
c
Roofing
n RTu` nc nn r In
License No.
n
Framin
License No.
Z
0
"SKIT In nrc T n
In, 1
License No.
coPlumbin
h
ALLEIN 121 I T I N G
M 4
Concrete
License No.
'
RiEQc-QNS CONCRETE
NEW SINGLE FAMILY RESIDENCE WITH 2135 SQ FT UNFINISHED BASEMENT
JOB CONTACT - MARV ROTH SPA-ENERGYSMITHS
-
Uj
RADON MITIGATION INSTALLED FCL%AID
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,•ss/uspended,
abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
_
name of owner/agent 7Signature Date
TOTAL FEES
$821'
5
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