HomeMy WebLinkAbout2930 Southmoor Dr - Permits - 05/27/2003Community Planning & Environmental Services
BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
1"2`36 iz)m
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins Phone (970) 221-6760 Fax (970) 224-6134 B0302994
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS2930 SOUTHMOOR DR
PERMIT DATE
05 27/2003
iuilding Permit w/o Subs
ity Sales/Use Tax
ounty Sales/Use Tax
$15.00
$15.00
$4.00
5/21/03
5/27/03
5/27/03
PERMIT
TYPE
SPKLR-R Residential Sprinkler S tem
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
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Last Name, First, Middle Initial
KRISTAN, DAVID E,JR
Construction Type
Occupancy Group
I
Z
Address City/State
2930 SOUTHMOOR DR FORT COLLINS. CO
Wp
V
No. of Stories
Building Height
Zip Phone No.
80525-2216 223-4109
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
Z
' • • •
Right Side Setback Left Side Setback
Z
0
Plat File No.
ZBA Case Number Zoning District
(See reverse side for Inspection Description)
S P K
J
Subdivision/PUD
Filing
wLot
Block Lot Area
Parcel No.
J
0
9725105074
OCompany
Name
Contractor License No.
QAddress
I Citv/State
Phone
tiectricai
License No.
d'
Mechanical
License No.
0
Roofing
License No.
H
Z
Framing
License No.
V
m
Plumbing
License No.
rn
Concrete
License No.
RESIDENTIAL SPRINKLER SYSTEM BEING INSTALLED BY HOMEOWNER
PROVIDE REQ'D BACKFLOW PREVENTER AND TEST
As a cbndition 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
eve that issuance was based on incorrect or incomplete informs ' Is permit shall become null and void if the work authorized by such permit is not
omm nced, suspended, abandoned or inspected within 18 ays from th date of -s-dch permit or frgm the date of the last inspection.
�` :7 TOTAL FEES
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