HomeMy WebLinkAbout831 Boltz Dr - Permits/Furnace - 01/08/2004Community Planning & Environmental Services
Building & Inspections Division
- P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Coffins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 831 BOLTZ DR
PERMIT TYPE
MECH Mechanical Alteration
Last Name, First, Middle Initial
BAILEY, AUSTIN GLENN, JR
Z Address City
3 934 E RIDGECREST RD
0 Zip Phone No.
80524
0 _
Z Right Side Setback
Z
Plat File No, ZBA Case Number
City/State
License
BUILDING PERMIT
Building Valuation PERMIT FEES
B0400108 $1,620.00
ACCOUNT FEE DATE PAID
PERMIT DATE
U'1/0 0
8/2004 Building Permit who Subs $15.0 i/8/04
.EVEL CATEGORY TYPE
ISSU_FUL Residential
Construction Type Occupancy Group
wp No. of Stories Building Height
FORT COLLINS, CO O
481-8801 Building Square Footage Stock Plan/Options
e � •
k • • ••
Zoning District (See reverse side for Inspection Description)
Filing GL FNM
Parcel No.
0 9725406023
W
Mechanical
License No.
O
NORTH, COLAURADO AIR
H 837
H
Roofing
License No.
License No.
OFraming
U
m
Plumbing
License No.
00
an
Concrete
License No.
FURNACE REPLACEMENT
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.
Print name of owner/agent
Date I TOTAL FEES