HomeMy WebLinkAbout1804 Crestmore Pl - Permits - 09/07/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
d'P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
City Of o s BUILDING PERMIT
JOB SITE ADDRESS
F Permit Type Work Type Category Type
dProposed Use Use Zone I Permit Level
Subdivision PUD Filing
Q Subdivision/PUD
(D
J
Lot Block Parcel No.
Last First M.I.
z
Address
City
O
State
Zip
Phone No.
i—
cc
Company Name
Contractor License No.
Q
Address
City
State
F
U .
-
Z
O
Zip Phone
Sales Tax No.
LLFire
Construction Type
Occupancy Group
Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
Cr
Occupant Load
Occupancy Separation
Area Separation
3
LL
No. of Dwelling Units
No. of Bedrooms
jNo.ofBathrooms
Fireplace/Stoves
Basement
O
Z
O Text:
P: _. -
it
U
w
0
ZBA Case No. BBA Case No.
Permit No. 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.
ature
Date
;INAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD
Building Valuation
ACCOUNT FEE DATE PA
C TV SAS E S USE r •a A 0 00''
SITE SETBACKS
REAR
LEFT
RIGHT
FRONT
Area
File No.
St. Parking
INSPECTIONREQUIRED
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
TOTAL FEES
t
_ ._
At-1
PERMIT
D E
_
T 1 51 . 00
$ 15. 00
Fire Containment
Stock Plan
Options
Electrical
Mechanical
Plumbing
QHECK 1 $1 s . 00