HomeMy WebLinkAbout800 Grandlake Ct - Permits/Single Family New - 02/03/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
° BUILDING PERMIT
JOB SITE ADDRESS
F Permit Type )qpaNniT
Work Type
aProposed Use
Use Zone
J SubdivisionEl PUD Filing
Subdivision/PUD
w
J ARK
Lot
Block
Last
First
Z
Address
3
City
U
State ZipCM
r
Phone No.
Company Name
O
F-
Contractor License K
Address
Fs
City
U
U
Zip
Phone
Construction Type
_
Occupancy G
Building Square Footage
—
No. of Stories
O
Occupant Load
Occupancy Separation
3
z
No. of Dwelling Units No. of Bedrooms No. of Bathrooms Fireplace/Stogy
1
FText:
O_
NEW SINGLE FAMILY
LE
PPRO
oICAISSONS
-REQUIRES
ENGINEER'S LETTER
G-77 ENERGY SCORE
RATING
Parcel No.
State
Sales Tax No.
�p Fire Sprinkler
Bldg. Height
Area Separation
Basement
[BA Case No.
BBA Case No.
Permit No.
Q Permit Date
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 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
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX PINK - ADDI nn., r Da/gZ
Category Type
Permit Level
Building Valuation
CITY SALES USE TA
M DRA
Fire Containment
Stock Plan
T OVERSIZE
20
LEFT
[Plat
t Area
�.11,19
File No.
22D203 St. Parki
SITE SETBACKS
REAR
16'3"
20
FRONT
00 QO 926203 CALL 221-6769
`12Q0 TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
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RPR SWR GL
5 FR FP RM
FNB FNE FNP
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Plumbing
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