HomeMy WebLinkAbout1921 Prairie Hill Dr - Permits - 09/08/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityofFort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS,921 PRAIRIE HILL DR
PERMIT TYPE
NSFRD NEW SF DETACHED
Last Name, First, Middle Initial
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ZAddress
3 SEAN MAHf
0 Zip
80525
Front Setback
_Z Right Side Setback
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Plat File No.
Subdivision/PUD
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w Lot
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ce Company Name
TXHOME,
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Address
F2250 E, COST
Z Phone
1 970 438 1061
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GRoofing
ZZ Framing
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Phone
Rear
22
5 Leff Si,
ZBA Case Number
1281-2
:N PARK
Block Lot Area
970-438-1061
BUILDING PERMIT
Building Valuation
�a�� ACCOUNT
PERMIT DATE
PERMIT LEVEL
ISSU
0
4 AVE 0
Sack
26.2
Setback
7
Zoning District
LMN
Filing
Parcel No.
4715
or License No.
City/State
GREENWOr
License No.
I
License No.
i
License No.
r
License No.
License No.
License No.
NEW SINGLE FAMILY RESIDENCE WITH 680 SQ FT UNFINISHED BASEMENT
STOCK PLAN 1413 WITH OPTIONS 2,10 E-STAR
JOB CONTACT - SEAN MAHAN CITY WATER/FCLWD SEWER
NO
lJ J lJ (.) 1410 lJ •J
CATEGORY TYPE
Sin le Family Detach Res
e Occupancy Group
Building Height
2 28
Footage I Stock Plan/Options
(See reverse side fo
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Inspection Description)
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uilding Permit w/ Subs
ity Sales/Use Tax
ounty Sales/Use Tax
ark land: Community
arkland: Neighborhood
ibrary Capital Exp.
enera i Covt. Capt. `xp.
olice Capital Exp.
ire Capital Exp.
treet Oversizing: Res.
arime_r County Reg. bad
lectric Underground
lee: PILOTS
lec: Comm. Revenue
lee: Temp. Pedestal
lee: City Energy Tax
lec: S, CO Energy lax
at or III IF
oudre School District
tormwater Dev. Review
tormwater: Fossil Creek
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 if the work authorized by such permit is not
commenced, suspended, � 'L abandoned or inspected within 180 days from date of such per it or from the date of the last inspection. r�
�w AiQ e J
Print name of owner/agent Signature Date TOTAL FEES
FEE
$101.00
$512.93
$1,513.02
$403,47
$1,629.00
$1,463.00
$489.00
$222.00
$121.VV
$175.00
$1,973.VV
$164.00
$428.00
$2.43
$40.35
$93.30
$1.21
$1.58
$2,11118.80
$763.03
r
$,14.95
$77 ,
,,.4,
$12,415.54
DATE PAID I
8/26/V3
9/8/03
9//8/c3
9/8/03
9/$,03
9 f 0;',
9/8/03
9/8/03
9/8/03
9/u°/03
9/8/03
/ 1 J V 3
9/8/03
9118/ 03
9/8/03
9/8/03
9/8/03
9/8/03
9/8/03
9/8/03
9/8/03
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