HomeMy WebLinkAbout3500 Camelot Dr - Permits/Air Conditioner - 05/15/2003Community 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 ADDRESS3500 CAMELOT DR
PERMIT TYPE
MECH Mechanical Alteration
Last Name, First, Middle Initial
or GROSSMANN, RICHARD C
w Address City/State
3500 CAMELOT DR FORT COLLI
� Zip Phone No.
80525-2814 223-2346
BUILDING PERMIT
Building Valuation
�0302690 ACCOUNT
PERMIT DATE
Ora/ Ire/2003 uilding Permit w/o Subs
EVEL CATEGORY TYPE
ISSU_FUL Residential
0
Z_
Right Side Setback Left Side Setback
Z
2
Plat File No.
ZBA Case Number Zoning District
J
Subdivision/PUD
Filing
Q
wLot
Block Lot Area
Parcel No.
0
9725407097
OCompany
Name Contractor License No.
H
U
Address
City/State
H
Z
Phone Supervisor Cart. No.
U
Electrical
I License No.
W Mechanical
POUR
Roofing
H
Z Framing
U
m Plumbing
v7
INSTALL AC
LU
W
License No.
License No.
License No.
License No.
Construction Type
w No. of Stories
0
0
Building Square
(See reverse side for
GL FNM
Occupancy Group
Building Height
Stock Plan/Options
NSPECTIONS
/ • ••
I INSPECTIONS
Inspection Description)
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.
Pryer/agen Signature Date'\ , TOTAL FEES
FEE I DATE PAID I
$15.001 5/15/03
$15.00