HomeMy WebLinkAbout1715 W Mountain Ave - Permits - 09/28/2000Planning & Environmental Services BUILDING P E RM I T
Building & Inspections Division
ghCommunity
P.O. Box 580 281 N. College Ave.
Building Valuation $3.500.00
Fort Collins, CO 80522-0580 B0015919
CityofF Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
JOB
SITE ADDRESS 1715 W MOUNTAIN AVE FTCO
PERMIT DATE 09/28/2000
PERMIT
TYPE FIALAD RES ALTERATION/ADDITION
PERMIT LEVEL ISSU FUL
CATEGORY TYPE _...N. OFF.-COMMJIND
Last Name, First, Middle Initial
Construction Type
Occupancy Group
CITY OF FORT COLLINS
Z
Address
PO BOX 580
City / $tat
PORT COLLINS, CO
p No. of Stories
O
Building Height
3
O
U
"-
Zip 80522 Phone
No.
Building Square Footage 0
Stock Plan/Options
Front Setback Rear
Setback
Z
Right Side Setback Left Side Setback
Z
• •
2
Plat File No. ZBA Case Number Zoning 01ytia L
(See reverse side for Inspection Description)
Subdivision/PUD Filing F'V
SBF RP RM
J
GL IN FNB
FNE FNP FNM
Lot Block Lot Area 0 Parcel §710316901
Name Contractor License No.
FD SPI UGP
OCompany
C
BREiivEN, JAESON CONST J-617
FIRFP RE
Address
1MARLENE DR
/sta
ci904 �ORTte COLLINS, CO 80524
�
EG
OPhone
970-310-4894 Supervisor Cert. No.
U
Elecuical License No.
GMechanical
License No.
Roofing
License No.
0
Framing
License No.
co
Plumbing
License No.
u')
-
REPAIR ROOF TRUSS
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 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 it the work authorized by such permit is not
commenced,
suspended,or not inspected within 180 days from the date of such permit or from the date of the last inspection.
'abandoned
UA U n
name of owner/agent SigrkafVre Date
TOTAL,FEES
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