HomeMy WebLinkAbout5225 Abbey Rd - Permits/Air Conditioner - 04/30/2003Community Planning &Environmental Services BUILDING
Building & Inspections Division UILDING P E RM I T
PERMIT FEES
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 Q 3 0 2 2 0
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS5225 ABBEYRD
PERMIT DATE
I 04 30 2003
Building Permit w/o Subs
$15.00
4/30/03
PERMIT
TYPE
MECH Mechanical Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
LAUB RICHARD BARRETT
Address
City/State
LU
p No. of Stories
Building Height
Z
3
PO BOX 270016
I FORT COLLINS CO
0
V
zip
Phone No.
Building Square Footage Stock Plan/Options
0
80527
229-0273
-
Front Setback
Rear Setback
Z_
Right Side Setback
Left Side Setback
� �
Z
�
(See reverse side for Inspection Description)
Plat File No. ZBA Case Number
Zoning District
Subdivision/PUD
Filing
G L F N M
Q
wLot
Block Lot Area Parcel No.
J
0 9602311014
Name Contractor License No.
OCompany
aAddress
City/State
H
Z
Phone Supervisor Cert. No.
V
Electrical License No.
Mechanical
License No.
0SFPVICF
FXPFRU OF EC
H-997
Roofing
License No.
H
Z
Framing
License No.
m
�
Plumbing
License No.
tq
Concrete
License No.
INSTALL NEW AIR CONDITIONER
57<
LU
As
Icondition 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,
su end , abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
TOTAL FEES
$15.00
Print
name of owner/agent Signature Date