HomeMy WebLinkAbout801 Grouse Cir - Permits/Deck - 04/11/2001Planning & Environmental Services gU I LDI N PERMITPERMIT
FEES
Building & Inspections Division
ghCommunity
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
00
3 �Oa.EP
atvofF Phone (970) 221-6700 Fax (970) 224-6134 B01 01836
ACCOUNT
PEf� �
DATE 1�A#'
JOB
SITE ADDRESS 801 GROUSE CIR
PERMIT DATE 04/ 1 1 /2001
Building Permit w/o Subs
$38.50
4/11/01
PERMIT
TYPE DECK Deck
PERMIT LEVEL ISSU_FUL
CATEGORY TYPE RESIDENTIAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
JENSEN,CHARLES WCKIL
Z
Address
City /State
w No. of Stories
Building Height
3
801 GROUSECR
FOFIT COLLINS, CO
8
V
O
Zip 24 Phone
No. 2242%81
Building Square Footage
275
Stock Plan/Options
Front Setback Rear
OIXISTING
Setback
43
REQUIRED INSPECTIONS
Z_
Right Side Setback Leff Side Setback
10 30
CALL 221-6769
Z
Plat File No. ZBA Case Number Zoning District
TO SCHEDULE INSPECTIONS
(See reverse side qr Inspection Description)
56
Subdivision/PUD Fling
SBF FNB FD
a
SPI FR
Lot 56 Block Lot Area O Parcel No. 9701148056
1B114BU56
Name Contractor License No.
OCompany
V
A
Address
City/State
OPhone
Supervisor Cart. No.
V
Electrical License No.
GMechanical
License No.
Roofing
License No.
0
Framing
License No.
m
NPlumbing
License No.
i
APPROX. 275 SQ FT DECK
WORK ALREADY COMPLETED (PRIOR TO PERMIT
HOMEOWNER AFFIDAVIT ON FILE
As
a condit n 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 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 or incomplete 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 or from the date of the last inspection.
„
T� y? S F Yw �... Vic) d
name of owner/agent Signature Date
TOTAL FEES
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