HomeMy WebLinkAbout314 Talon Ct - Special Inspections/Concealed Construction - 02/21/2014F®rt of
PERMIT AND INSPECTION REQUEST FOR
EXISTING NON-STRUCTURAL CONSTRUCTION
Please print or type
Address:
Date
I/WE
record of the above property, hereby request a permit for and final inspection of the
installation or construction work described in the following building permit
application, which work was completed or covered without obtaining a permit and
without required inspections during construction. I/we understand and agree that
the City of Fort Collins Building & Zoning Department will perform a final inspection to
assess compliance of such work, some or all of which may be concealed by
permanent construction and finish materials, based on observable conditions and
nondestructive methods: and, that it may not be practical or possible for the City of
Fort Collins.to verify full compliance with City building codes without removal of such
permanent construction and finish materials. I/we further understand that any
violations of City Codes related to health and safety associated with the above work
or installation may require correction.
Work performed by:
Name
Date work performed:
(Signature)
(Signature)
Address
.....................................
For office use only:
14 9 6
uU
Permit/Application Number
Date applied:
Date
Date