HomeMy WebLinkAbout1200 S Taft Hill Rd - Permits - 03/10/2004Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
i Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 4 0 1 2 a
ACCOUNT
FEE
DATE PAID
JOB
I
SITE ADDRESS 1200 S TAFT HILL RD
PERMIT DATE
0/ 1 J2C;0 *
nuildiag Permit wJo Subs38.5
3/10(04
PERMIT
TYPE
MECH Mechanical Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Non Res Bldg Const
Last Name, First, Middle Initial
SHEPHERD OF THE HILLS
Construction Type
Occupancy Group
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Address
1200 S TAFT HILL RD
City/State
FORT COLLINS, CO
WQ No. of Stories
O
Building Height
U
ZIP
80521
Phone No.
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
! ,
0
Z
Right Side Setback
Left Side Setback
• • • •
Z
1
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
(See reverse side for Inspection Description)
L F !I M
N
J
wLot
Block Lot Area Parcel No.
J
(�
9 15JU6370
Company Name Contractor License No.
ce
V
Address City/State
H
OPhone
Supervisor Cert. No.
V
Electrical License No.
ad
Mechanical
License No.
Roofing
License No.
H
License
No.
OFraming
V
Plumbing License
No.
Concrete License
No.
REPLACE (2) INTERIOR GAS FURNACES AT SHEPHERD OF THE HILLS LUTHERAN CHURCH - COMBUSTION
AIR PROVIDED BY kMALL LOUVRES TO OUTSIDE, INSTALL AS PER 1991 UMC AND 2000 UPC
S�
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
commenced,
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
suspe aed, bandoned
or inspected within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
Print
TOTAL FEES