HomeMy WebLinkAbout800 W Mountain Ave - Permits - 10/07/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 800 W MOUNTAIN AVE
PERMIT TYPE PERMI"
NSECR New Secondary Res Bldg
Last Name, First, Middle Initial
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3 Address
City/State
800 W MOUNTAIN AVE FORT COLLINS CC
0 Zip Phone No.
80521-2508 407-0690
Front Setback Rear Setback
0 18
Z_ Right Side Setback Left Side Setback
Z 15 5
NPlat File No. ZBA Case Number Zoning District
NCL
BUILDING PERMIT
Building Valuation
B030565 ACCOUNT
PERMIT DATE
I ) y07 2003 Plan Check Fee
.EVEL I CATEGORY TYPE
ISSU FUL Acsry Bldg :650 SF -Res Building Permit w/ Subs
Construction Type Occupancy Group
SN City Sales/Use Tax
wp No. of Stories Building Height
0 1 9 County Sales/Use Tax
Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
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Subdivision/PUD
Filing
S B F
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Lot
Block
Lot Area
Parcel No.
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N B
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9711307028
FNE
F N P
FItIM
OCompany
Name
Contractor License No.
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Address
City/State
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Phone
eieccricai
License No.
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Mechanical
License No.
0
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Roofing
License Na
ARINERS nn Ft NG
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Framing
License No.
0
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Plumbing
License No.
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Concrete
License No.
HOMEOWNER TO BUILD GARAGE USING EXISTING DRIVEWAY. 480 sf.
HOMEOWNER AFFIDAVIT ON FILE
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, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
ICI(P- to (4P,2k #,-N 7l lr-,7 10_ 77_ �3
Print name of owner/agent Signs re Date TOTAL FEES
FEE
1PV4. U
$132.9
$193.1
$51.4
$441
DATE PAID I
8/21/03
10/7/03
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