HomeMy WebLinkAbout630 Blue Mesa Ave - Permits/Gas - Log, Line, Pipe - 12/11/1991DEVELOPMENT SERVICES/BUILDING. PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
tye a BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS 630 BLUE MESA.AVE
F
Permit T pe
GASH LOG/GAS LIGHTER
Nbrk T pe �
NE�I
Cate or T e
FAMILY DETACHED
g
Q_
Prq�gESIDENTIAL
Use Zone
arm iiLL/FINAL
L/F
Subdivision PUD Filing
PERMIT FEES
Subdivision/PUD
Building Valuation 619
FRONT
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
LNAGAN
Fiat DARREL
"L
BLDG PERMIT FLAT
15.00
911211
Lot Area
—CITY SALES -USE TA
— 0.00
91-1211PIatFueNp.
Addres
6�0 BLUE MESA OR
City
FORT COLLINS
z
Z
State CD
Z'p 80526
Phone No.
Off St Parking
O�
-
P
Cam any Name
IAR PLUMBING & HEATING-7
Contractor U n e
• 'INSPECTIONS
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CALL 221-6769
Address
City
state-
2612 WORTHINGTON
FT COLLINS
CO
TO SCHEDULE INSPECTIONS
ZO
- -'- _- -
for
Z;P
Phone
Sales xl
U
80526
223-5129
1�874
IDSp Coon Description)side
GL LG
Construction Type
Occupancy Group
Fare Sprinkler
Building Square Footage
No. of Stones
Bldg, Height
TOTAL FEES
jS. QQ
Occupant Load
Occupancy Separation
Area Separation
Fre Containment
3
LL
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basemen[
Stock Plan
Optiohs
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DAS LOG INSTALLATION
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ZBA Case No.
BRA Case No.
Parmit No. 0913531
"armibl tEMBER 11, 1991
DEPARTMENT
DATE
STATUS
SUB CONTRACTORS
Electrical
OTC PE
MIT 1SS
As a conditi r the issuance of a permit, I hereby declare that 1 am an owner
or the owns 's agent, authorized to perform the proposed work on the property
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described herein. 1 agree to comply with all the requirements contained herein,
ordinances, and State laws associated with such work.I understand that
and City_
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- _
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Mechanical
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
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such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
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}
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Plumbing
Signature
Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX. PINK - APPLICANT, TAG - FIELD CARD