HomeMy WebLinkAbout1915 Prairie Hill Dr - Permits - 06/24/2003Community 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
BUILDING PERMIT
Building Valuation
B0303335 ACCOUNT
JOB SITE ADDRESS1915
PERMIT DATE
I
PRAIRIEHILLDR
06 24 2003
PERMIT TYPE
PERMIT LEVEL
CATEGORY TYPE
NSFRD NEW SF DETACHED
ISSU_FUL
I Sin le Family Detach Res
Last Name, First, Middle Initial
Construction Type
Occupancy Group
CENTER HOMES
w
Wp
Address
City/State
No. of Stories
Building Height
TOM WILLIAMS
9250 E. CASTILLA AVE
0
2
1 28
Zip Phone
No.
Building Square Footage Stock Plan/Options
80112
970-223-6962
Front Setback Rear
Setback
� � � •
�
21
22
Z
• • •
Right Side Setback Left Side Setback
Z
5 5
• •
2
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
1281-2 LMN
S B F R P R M
Subdivision/PUD
Filing
LINDEN PARK
GL IN FNB
Lot
W
—'
14
Block
I Lot Area
4715
Parcel No.
FNE FNP FNM
F D S P I U G P
OCompany
Name Contractor
License No.
CENTEX HOMES
D-463
R R FR
City/State
Address VE #200
N WOOD VILLAGE, 80112
F P R E
Z
Phone
Supervisor Cert. No.
970-223-6962
2147-
Electrical
License No.
W
Mechanical
License No.
Roofing
License No.
Z
Framing
License No.
m
-
r
E srA
Plumbing
License No.
Concrete
License No.
NEW SINGLE FAMILY RESIDENCE WITH 754 SQ FT UNFINISHED BASEMENT
STOCK PLAN 1414 WITH OPTIONS 1,2.3A E-STAR
JOB CONTACT - TOM WILLIAMS CITY WATER/FCLWD SEWER
Ian Check Fee
uilding Permit w/ Subs
Ian Check Fee
ity Sales/Use Tax
ounty Sales/Use Tax
arkland: Community
arkland: Neighborhood
ibrary Capital Exp.
eneral Govt. Capt. Exp.
olive Capital Exp,
ire Capital Exp.
treet Oversizing: Res.
arimer County Reg. Road
lectric Underground
lee: PILOTS
lee: Comm. Revenue
lee: Temp. Pedestal
lee: City Energy Tax
lee: ST/CO Energy Tax
ater PIF
oudre School District
tormwater Dev. Review
tormwater: Fossil Creek
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 sucy
work. I understand that such permit may be revoked in the
event that issuance was based on incorrect or incomplete information. This permit shall beco ull and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the date of suc e r from the date of the last inspection.
de'-s
Print name of owner/agent Signature Dat TOTAL FEES
FEE
$176.00
$769.43
$1.00
$2,648.90
$706.37
$1,983.00
$1,781.00
$595.00
$270.00
$147.00
$213.00
$1,973.00
$164.00
$428.00
$2,43
$40.35
$93.30
$1.21
$1.58
$2,118.80
$763.03
$122.95
$77.47
$15,076.82
DATE PAID
6/6/03
6/24/03
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