HomeMy WebLinkAbout1513 Glen Haven Dr - Permits/Air Conditioner - 06/04/2003a Community Planning &Environmental Services
FEES
Building & Inspections Division BUILDING PERMITPERMIT
P.O. Box 580 281 N. College Ave.
Building valuation
-
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 3 2 6 0
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
1513 GLEN HAVEN DR
r
Permit w/o Subs
$30.00
6/d/03
PERMITTYPE
—Wilding
PERMITLEVEL CATEGORY TYPE
MECH Mechanical Alteration ISSU FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
ujPARR-
W
3
DFRORA
Address City/State a No. of Stories Building Height
GLEN
Zip1513 HAVEN DR FORT COLLINS CO 0
V
Phone No. Building Square Footage Stock Plan/Options
80526-2446 204-1003
Front Setback
Rear Setback
Z_
Z
Right Side Setback Left
Side Setback
' • • •
2
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
C L F lI M
wLot
Block Lot Area Parcel No.
0 9727106049
Company Name Contractor License No.
W
Address
City/State
H
ZZ
Phone Supervisor Cert. No.
V
Electrical License No.
ce
Mechanical
License No.
C
NORTH, CIDIGRAnO AIR
Roofing
H-917
License No.
Framing
License No.
Z
V
Plumbing
License No-
v)
Concrete
License No.
ADD NEW AIR CONDITIONER AND AIR HANDLER
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.
.1-1 W or
na a of owner/agent Signature mate
Print
TOTAL FEES
$30.