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HomeMy WebLinkAbout5220 Boardwalk Dr - Permits/Garage - 10/22/2003 (3)Community Planning &Environmental Services FEES Building & Inspections Division BUILDING PERMITPERMIT P.O. Box 580 281 N. College Ave. Building valuation - Fort Collins, CO 80522-0580 City ofCity F�Co phone (970) 221-6760 Fax (970) 224-6134 a 7 0 ACCOUNT FEE DATE PAID JOB SITE ADDRESS PERMIT DATE 5220 BOARDWALK DR#L 10 y22 /200:; Plan check Fee $12.0 z (/NSECR PERMIT LEVEL NewSeconda ResBid CATEGORY TYPE ISSU FUL Acs Bld :650SF-Res Building Permit u/ Subs � 12'4A IPERMITTYPE t Name, First, Middle Initial Construction Type Occupancy Group ress City/State w Clty 0jaies%-e Tax $il�.ii iii%lii ll" p No. of Stories Building Height O O 0 U 0 Count Sales/i,eTaz y4;. u' 'ri1 Zip Phone No. Building Square Footage Stock Plan/Options 80525 970-204-0100 Front Setback Rear Setback 0 47-WALK 35 REQUIRED INSPECTIONS Right Side Setback Left Side Setback Z CALL • • 9 2 Z TO SCHEDULE INSPECTIONS Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description 1287-1 LMN S B F 1{ p P R N J Subdivision/PUD Filing HE LODGE AT MIRAMONT PUD w CL TN FNB Lot Block Lot Area Parcel No. 120700 FNE FNP FNN F p S P T U G P OCompany Name Contractor License No. Cl n n F N RE E C Address City/State Z a 0 r n nr H r Phone Ri inAnAmrV rcrt !dn Electrical w mecnanicai License No. Q Roofing License No. r n n ROOFING Z Framing License No. U D Plum ing License No. to Concrete License No. 2-BAY GARAGE UNIT #L - STOCK #1410, OPTION B W CHARLIE TAKACS H 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 com nced, suspended, abandoned or inspected within 180 days fro a date of suc rmit or from the date of the last inspection. l);g Piy Ad a`- Print name of owner/agent Signature Date TOTAL FEES $361