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HomeMy WebLinkAbout5207 Madison Creek Dr - Permits/Single Family New - 04/11/1997Community Planning & Environmental Services BUILDING PERMIT M Building Permits & Inspections DivisionL� P.O. Box 580 �.�� _����% cityot Fort Collins Fort Collins, CO 80522-0580 UILDING Proposed Use ESIDENT: Subdivision J � Subdi "on/PUD W TETSON I J Lot 3 VENIE a-VA HIZ 30 z LEFT — 80525 13 - rvsXU nuny 1 Building Valuation PUD 105485 Block Parcel No. RR05R-017-098 ACCOUNT _' FEE DATE PAID 2352 1 ill se K Ocaupah, Load Occuponq Se, 0 u- No. of Dwelling Units . No. of Bedrooms 1 4 .10 Z ESIDENTIAL SINGLE F, NFINISHED BASEMENT d a u N W 0 Phan. No IZTY—SALES USE TA - 1582.28"® m m' 225-9810 OUNTY SALES TAX 7RE'ET-OVERSIZING-" 131.86 584.00:— Contractor License No. D-265 TORMWATER 79__._ L'ECTRIC UNDERGRO 838.34 %I14-.00 City Stara k FT COLLINS CO 4ATER PIF NST . WATER CHAR 2549.92 _ 6 : 30— Sates T. No. 25-9810 1 3EWER, PIF ATER`PIF/YOK-CRE`m`--35.,00— 1t300.,00 v -`-"` Fire Sprinkler Fireplace/Stave. 1 - - - - -�- - --__ age No. of Stories Building Height- Area Separation Fire Containment No. of Bolhrooms 2 Stock Plan/Options / TOTAL FEES 9380.70 �� SETBACKS REAR 38 RIGHT 14 FRONT 21.5 0e TO SCHEDULE INSPECTIONS (See reverse side for Inspection Description) WBTR SWR SPI IN SPI GL RP RE RM FR FNB FNE FNP 0953760 APRIL 11, 1997 -DEPARTMENT STATUS DATE • '�L • ' EleRricol PRECISION SERVICES ELEC. As a condition for the issuance of er ', I hereby declare that I am an owner or the - ONING PASSED 51121 owner's agent, authorized toped r eproposedwork onthe property described herein. NGINEERING" -- - ATER & SEWER PASSED 351121- 151127 b ,haniod I agree to comply with all the requirements contained herein, and City ordinances, and State _ &S"FEES '-PASSED 160911 NORTHERN COLO AIR laws associated with such work l understand that such permit may be revoked in the event IGHT & POWER PASSED 51122 that issuance wasb nincorrectinformation. Th' permit shall become null and void if TREET OVERSIZE -" PASSED 51127 Plumbing the workauthoriz bys er ' "notcommenc spended,abandoned,ornot LAN( CHECK PASSED 51121 AA PLUMBING inspectedwi s omthe ate su _ TORMWATER "PASSED 51127 Other - FOX CONSTRUCTION Signature Oafe �