HomeMy WebLinkAbout1421 Curtiss Ct - Permits - 01/07/2004Community Planning &Environmental Services
Building& Inspections Division BUILDING PERMIT
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City
of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 4 0 0 0 86
ACCOUNT
FEE
DATE PAID
SITE ADDRESS 1421 CURTISS CT PERMIT DATE
JOB
PERMIT
TYPE C I/07 2004
Building Permit w/o Subs
$15.00
1/7104
PERMIT LEVEL CATEGORY TYPE
SPKLR-R Residential Sprinkler System ISSU_FUL Residential
Last Name, First, Middle Initial
tj
City Sales/Use Tax
$4.50
1/7/04
Construction Type Occupancy Group
ELDER, GENE
w
Z
3
Address City/State w No. of Stories Building Height
1421 CURTISS CT 0
County Sales/Use tax
$1.20
1/7/04
FT COLLINS, CO
Zip U
Phone No. Building Square Footage Stock Plan/Options
80526 226-4799 rj
Front Setback
Rear Setback
0;
fi •
Z_
Z
Right Side Setback Left
Side Setback
• � � •
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
SPY
J
wLot
Block Lot Area Parcel No.
Company Name Contractor License No.
�
V
Q
Address City/State
Fd
Z
Phone Supervisor Cert. No.
U
Electrical License No.
W
Mechanical
License No.
Roofing
License No.
H
Z
Framing
License No.
U
jPlumbing
N
00CKY MTN PtMBC & NTC
License No.
MP �3fi
Concrete
License No.
SPRINLER SYSTEM INSTALLED BY ROCKY MTN PLUMBING.
PROVIDE REQUIRED BACKFLOW PREVENTED. AND BACKFLOW TEST RESULTS.
As a
described
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
herein. I agree to comply with all City ordinances, and State laws
event
associated with such work. I understand that such permit may be revoked in the
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 sucp permit or from the date of the last inspection.
Su�a
90w&64-ik-',
name of owner/agent Signature Da-11-16 te
Print
TOTAL FEES
$20 7