HomeMy WebLinkAbout5212 Madison Creek Dr - Permits/Footing and Foundation - 05/14/1996Community Planning & Environmental Services
Building Permits & Inspections Division
P.O. Box 580
Cityof Fort Collins Fort Collins, CO 80522-0580 -
JOB SITE ADDRESS 5212 MADISON CREEK DR
F„ Permit - - WorkTpe
FUUTKIDAT ION/FRAMING NEYW
PS NGLE FAMILY DWELLING U�Zrlp
Subdivision El PUD ® Filing 1
J
a: sahaiadan PUD -
221-6769
E FAMILY DETACHED
CATION & FRAMING
__ W STETSON CREEK PUD 110408
J" Lot Block Panel Mo.
16 86053-07-016 ACCOUNT FEE - -DATE PAID
3
0
JA' HOMES
E FOOTHILLS PKW
Zip, 80525
COLLINS
9810
E- ' FOOTHILLS PKWY # 1 FT COLLINS
5 1 225-9810
Phone Sales T. No.
Occupant Load - Occupan
0
3 No. of Dwelling Unit - No. of Bedrooms No. of
U. 1 3 3
Z-TNEW SINGLE FAMILY RESIDENCE
o UNFINISHEDBASEMENT
6
K
V
N
W
F&F PERMIT FLAT 3 150.00
Sbte
CO
right �- TOTAL FEES -
150.00
1113
LjWAWMLQL�0961632/MAY 14, 1996
As a condition for the issuanc f a per 'i, I hereby declare that I am an owner or the
ownei s agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and 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 information. This permit shall become null and void if
the work authorized by such permit is not commenced, suspended, abandoned, or not
inspected within 180 days from the date of such permit.
Signature Dote
DEPARTMENT
ZONING
ENGINEERING=_,._., ._,.._-
WATER & SFWFRv:
SETBACKS
ItE.slt
15
5 LEFT 20 Gtfr
29ow
9291
Plat File No. 978
.. Off St. Panting 3
REQUIRED•
CALL 22I-6769
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
SBF ( FD ( UGP
WTR SWR
"STATUS "- .
DATE'
• • ` 'I` • • '
SASSED
960502
Ele riocl
PRECISION SERVICES ELEC.
SASSED___.
960503-
:1ASSED
960509
960503
Me060'HERN
�AASSSED
COLO AIR
PASSED
960509
PASSED
960502
"U""PL UMBING