HomeMy WebLinkAbout2325 Moss Rose Ln - Permits - 05/31/1996SETBACKS
Community Planning & Environmental Services
BUILDING P E RM I T
REAR
Building Permits & Inspections Division
P.O. Box 580 221-6769
City ofF Fort Collins, CO 80522-0580
LEFT RIGHT
JOB SITE ADDRESS 2325 MOSS ROSE LN
PTWMATION SPRINKLER
Wo1VCrY CO1BJF1'IVUL E FAMILY DETACHED
Use Zone PermitPUtL/FINAL
P Tnl IFNTIAL
d
Subdivision PUD
FilingPERMIT
FEES
Building Valuation 874
J
�
W
FRONT
Subdivision/PUD
J
Lot
Block
`091" 1- 17-001
ACCOUNT
FEE
"DATE PAID
Lt`lEWIS
First CRIS
MI.
BLDG PERMIT FLAT
15.00
Loi Afea
CITY SALES USE 1A
0.00
MOSS ROSE LN
ci (ow COLLINS
Plat File No.
zA
COUNTY SALES TAX
0.00
3
O
t25
S Lp 80526
Company Nome
Phone 1, 04-0890
Contractor License No.
OH St. Parking
oC
REQUIRED INSPECTIONS
V
Address
city
State
CALL 221-6769
TO SCHEDULE INSPECTIONS
Zip Phone Sales Tax No.
O
(See reverse side for Inspection Description)
V
Construction Type Occupancy Group Fire Sprinkler
ISS
Building Scluge Footage
No. of Stories
Bldg. Height
TOTAL FEES
15.00
�Occupant
Load
Occupancy Separation
Area Separation
Fire Containment
No.of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
3
z
T19PRINKLER SYSTEM
O
a
V
N
ZBA
Case No.
BRA Case No.
e 0961877
Perm1[]ote 31, 1996
I'�FIT
DEPARTMENT
STATUS .
DATE°
• . , • .
OTC PERM
T ISS
EIN� IA
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
�-L,
MTV lAiGel
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 authorizedby such permit is not commenced, suspended, abandoned, or not
inspected within 180 days from the date of such permit.
PI
t / /
< Date
Signature