HomeMy WebLinkAbout500 E Locust St - Permits/Furnace - 04/28/1997SETBACKS
Community Planning & Environmental Services
! B U 1 L� I N G PERMIT
REAR
Building Permits & Inspections Division
P.O. Box 580 ��� o���g
Cityof Fort Collins port Collins, CO 80522-0580
LEFT RIGHT
JOB SITE ADDRESS 500 r I OQUOT RT
F-
Permit Type
Work Type Category TYPE
5
ECHANICAL
ALIERATIQN SINGLE FAMILY DETACHED
WProposed
I
Use Zone Permit Level
°
Use
ESIDENTIAL
FULL FINAL
Subdivision El PUD
Filing
PERMIT FEES
J
6
FROM
Subdivision/PUO
Building Valuairon
L�
W
1000
Lot
61ock
Forml No.
ACCOUNT
FEE
DATE PA ID
Last
F(rat
M.l,
LotAmo
ae
OLDRICH
MARK
LDG PERMIT FLAT
15.00
Z
Address
Ciy
ITY= SALES USE TA
0.00.
Plot File Na.
31212
CLARK ST
FORT COLLINS
Y SALES _TAX _-.
-_.Q.AW_
0
State
zi
Phone No.
Off St. Porking
80524
- -
O
Company Name
contractor ucem , No.
• , •
CO MECHANICAL SVCS INC
H-932
""- _ -
'
-
CALL 221-6769
Address
City
sane
700 INNOVATION STE
FORT COLLINS
CO
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
zip
Phone
sale: T. No.
0525
223-5050
Conskuniion Type
0¢opancy Group
Fire Sprinkler
fimpiace/Stoves
FNM SPI
Building Square Footage
Basement Square Footage
No, of Stories
Building Hcn hl
0
_,_
__.
GL
Load
Occupancy Separation
Area Separation
Fire Containment
zOccupancy
3
No, of Dwelling Units
No. of Bedrooms
No. of Bathrooms
stock Plan/Ophiom
TOTAL FEES
LL
0
�
15.00
o
TEPLACE FURNACE
a
a
u
W
Z9A Case No. BRB Cosa No.
• L •
t
M.
ITZME109713 3
n
Pe mD�ARIL 28, 1997
DEPARTMENT
STATUS
DATECONTRACTORS
OTC PERMI
ISS
NIA
NIX
As a condition for the issuance pe it, I hereby declare that I am an owner or the
owner's agent, authorized to erfo the proposed work on the property described herein.
M Chanioal
I agree to comply with all t re irements contained herein, and City ordinances, and State
N/A
laws associated with such I understand that such permit may be revoked in the event
that issuance was based on incorrect information. This permit shall become null and void if
Plumbing
the work authorized by such permit is not commenced, suspended, abandoned, or not
N/A
inspected within 180 days from the date of such permit.
other
N/A
signature Dote d