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HomeMy WebLinkAbout1612 Quail Hollow Dr - Permits - 11/13/1998'' ' Community Planning & Environmental Services Building Permits & Inspections Division BUILDING PERMIT SETBACKS REAR PO. Bo 221 6769 City Fort Collins of Fort Coll linsins , CO 80522-0580 LEFT RIGHT JOB SITE ADDRESS 1(i 1 I (vUA l i 1101. ! OW C)R f;W51/1 (i Permit T Pe RE -f�OOF Work T pe Cat o TYPE AI zl f RAl ION £, M21.1. 1AM I Y U1 I ACW I 1) FRONT d 17MILI)l_eNI 1Al ed Us Use Zone Permit `Ul'I /1 iNAI J Subdivision PUD Filing J Subdivision/PUD Building Valuation Lot Block Parcel No. ACCOUNT FEE DATE PAID Last fRIAtSL First Fh M.I. 'Ji_I;(l (>IIIMI; NON S 0.Vl I>C'IlW Lot Area w I Y SAF LLS US1A 48. 00 961 1 I j Address City Plat File No. (�I.W IiOI I_(l�rr' 1)k C(I)i I IM; COUNTY SALES TAX '10,40 081113i O $1512 1.�� Zip F'0525, 1fUP Phone %o�C_-.If� Off St. Parking aiay P 1,g)I 1NG Contractor Lifers a JV i eINSPECTIONS CALL 221-6769 .ayi r s �t �GUI Yr IJNG, i GUI CI -1 city IL f_ i VI:F Sta (C) TO SCHEDULE INSPECTIONS 7� Phone SalesT=No. iiP�� l i .'I �i;i _ /4 ?1 (See reverse side for Inspection Description) Construction Type Occupancy Group Fire Sprinkler Fireplace/Stoves 121 Building Squgrf Footage Yl Basement Square Footage No. of Stories Building Height Ne Occupancy Load Occupancy Separation Area Separation Fire Containment 3 No. Dwelling Units �, No. of Bedrooms No. of Bathrooms Stock Plan/Options TOTAL FEES 1 O . (7OF 3P1 S(1 OF '50 YEAR (:I ASS A z 0 iAX IIASI.0 ON $'1(W)Fl IN MAIIRIAlS a a V N ZBA Case No. BRB Case No. , s ` ,t • SO�fi lj n Permit DlV')V Mlil_R is 199f3 I'm DEPARTMENT ' f_ STATUS DATE 11*191 1 IM• ' C; I C K RM ! J ; j(i EleCrjCg / F\ 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 Plumbing the work authorized by such permit is not commenced, suspended, abandoned, or not % A inspected withi 0 days fro the date of such permit. - Rooting N/A Signature "%/ Date VIV