HomeMy WebLinkAbout3420 Shallow Pond Dr - Permits - 04/24/2003aCommunity Planning & Environmental Services
.01
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 ADDRESS3420 SHALLOW POND DR
DERMITTYPE S�PI.K�,LR-RjIL Residential Sprinkler System PER
W La0AIM d�`j�,dT6tt
Z A h SHALLOW POND DR city/"I?ORT COLLINS,CO
O 10528 Phone No.
266-8742
Front Setback I Rear Setback
BUILDING PERMIT
p Building Valuation
EB0302097
ACCOUNT
PERMIT DATE 04/24/2003 uiHing Permit w/o Subs
.EVEL ISSU_FUL CATEGORY TYPE Residential
Construction Type Occupancy Group
ONo. of Stories Building Height
V
Building Square Footage I Stock Plan/Options
c�
_Z
Right Side Setback Left Side Setback
Z
2
Plat File No.
ZBA Case Number Zoning District
J
Subdivision/PUD
Filing
Q
wI
Lot
Block Lot Area O
Parcel No.
Company Name Contractor License No.
Address
City/State
H
OPhone
Supervisor Cert. No.
V
Electrical
License No.
OMechanical
License No.
Roofing
License No.
F
Z
Framing
License No.
V
Plumbing
License No.
N
Concrete
License No.
(See reverse side for Inspection Description)
SPK
RESIDENTIAL SPRINKLER SYSTEM BEING INSTALLED BY HURR LANDSCAPING 1933 S CR 15 BERTHOUD,
CO 80513 567-6609
PROVIDE REQ'D BACKFLOW PREVENTER
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 s permit or from the date of the last inspection.
&�aA' � � A3
Print name of Signeffure Date TOTAL FEES
$3,327.00
FEE DATE PAID
$15.00 1 4/24/03
$15.00