HomeMy WebLinkAbout1401 Teakwood Dr - Permits - 07/31/1990DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORTCOLLINS, CO 80522-0580
221-6761-6769
REAR
BUILDING PERMIT
JOB SITE ADDRESS -E , .3
"o it is r, 0
LEFT RIGHT
—
Permit Typre
Work Type
Category Type
w
Proposed Use
Use Zone
Permit Level
_. __
__ _ _
Subdivision PUD
Filing
PERMIT FEES
Q
Subdivision/PUD
Building Valuation
O
H
FRONT
of
Block
Parcel No
ACCOUNT
FEE
DATE PAID
Last
First
M.I.
Lot Area
C:" yre. Lid ,..iY.!`:
v L.. tf• _'=ire,
w
T { x{ K.AI C.— USC I C!
+E, a1
Address
City
Plat File No,
State Zip
i I I
Company Name
Phone No.
Contractor License No-
Off St. Parking
O
¢
REaUIRED INSPECTIONS
Address
City
state
Q
CALL 221-6769
366 `=Ui;=N"- J z TV=
rE LAldD
C
TO SCHEDULE INSPECTIONS
o
(See reverse side for
Zip phone sale, Tax Nn
u
BO 36 667— '1- w�383&
Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
Building Square Footage
No. of Stories
Bldg- Height
TOTAL FEES
Occupant Load Occupancy Separation
Area Separation
Fire Containment
Y
'�-
O
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
O
00
Text
a�TNE
---_ .�_. I ;'F."
¢
O
rn
w
ZBA
Case No.
BBA Case No.
DEPARTMENTAL
Permit No.
j
Permt Datr,
DEPARTMENT
STATUS
DATE
•
•
L1.
sr����l
i
!1? u_
Electrical
As a condition for the issuance of a permit, I hereby declare that I am
an owner or the owner's agent, authorized to perform the proposed
work on the property described herein. I agree to comply with all the
Mechanical
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 issua se was based on incorrect information.
Plumbing
Signature Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICAN I, TAG - FIELD CARD