HomeMy WebLinkAbout5302 Southern Cross Ln - Permits - 05/06/2003Community Planning & Environmental Services
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 ADDRESS5302 SOUTHERN CROSS LN
PERMIT TYPE PERMIT
MECH Mechanical Alteration
LU Address
5302 SOUTHRE CROSS LN
U Zi80528
City/State
FORT COLLINS, CO
Phone No.
226-5588
BUILDING PERMIT
Building Valuation
B0302355
ACCOUNT
PERMIT DATE
0b/06/200:3 uiiding Permit w/o Subs
LEVEL CATEGORY TYPE
tSSU_FUL Residential
()
Z_
Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area
Parcel No.
J
0
OCompany
Name
Contractor License No.
H
Address
City/State
Z
Phone
Supervisor Cert. No.
V
Electrical
License No.
NORTH. COLORADO ELEC DATA
ME-773
W
Mechanical
License No.
DC SHORTRIDGE DBA HOOLEY
H-1654
Roofing
License No.
F
Z
Framing
License No.
V
SO
D
Plumbing
License No.
N
Concrete
License No.
INSTALL AC
Wp No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
GL FNM
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.
Reed 1 ,Lac_ -1 ` �ru�ac _ sly/„3
Pri t name owner/ gent gignature Datef TOTAL FEES
21 4.�5
FEE DATE PAID
$15.00 5/6/03
$15.00