HomeMy WebLinkAbout800 W Mountain Ave - Permits - 07/02/2003Community 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 ADDRESS800 W MOUNTAIN AVE
PERMIT TYPE FERN
RALAD RES ALTERATION/ADDITION
Last Name, First, Middle Initial
o< HARKIN, KIERA
Address City/State
800 W MOUNTAIN AVE FORT COLLINS, CO
0 Zip Phone No.
80521-2508 407-OM
Front Setback Rear Setback
0-EXISTING 23
Z Right Side Setback Left Side Setback
z 5.5 7.25
QPlat File No. ZBA Case Number Zoning District
2426 NCL
BUILDING PERMIT
Building Valuation
B0302684
ACCOUNT
PERMIT DATE
01/02/2003
Ian Check Fee
luilding Permit w/ Subs
ity Sales/Use Tax
Sales/Use tax
LEVEL
ISSU_FUL
CATEGORY TYPE
I kcsry Bldg >650<2500-Res
Construction Type
Occupancy Group
Wp No. of Stories
O
Building Height
0 4ounty
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
J
Subdivision/PUD
Filing
S 8 F RP R M
Q
w
GL IN FNB
F N E F N P F N M
F D S P I U G P
Lot
Block
Lot Area 6700
Parcel N o.9711307028
OCompany
Name
Contractor License No.
G
FR FP RE
Address
City/State
H
OPhone
Supervisor Cert. No.
V
Electrical
License No.
NORTH. COLORADO ELEC DATA
ME-773
Mechanical
ROBERTS HEATING I AIR
License No.
H-1602
W
C
Roofing
PARTNERS
License No.
R-1212
OFraming
License No.
V
m
Plumbing
License No.
N
BERSHINSKY P I H
MP-143
Concrete
I License No.
UNn 10r 1,1JR1. ftr I r r LLU I 41i- 14
HOMEOWNER TO BUILD 1 ST FLOOR AND BASEMENT ADDITION
5< AFFIDAVIT ON FILE
W
I —
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.
KeL2ft LA AAIc� W - — 2 - G3
Print name of owner/agent Signatup6 Date TOTAL FEES
W.
$137.15
$284.85
$510.00
$136.00
$1,068.00
DATE PAID I
5/15/03
1/2/03
7/2/03
7/2/03