HomeMy WebLinkAbout1636 Collindale Dr - Permits/Gas - Log, Line, Pipe - 05/06/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR rl
Ttvo BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS 1636 COLLINDALE OR
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Permit Type
MbM Type Cat.?? Tye
NEW FAMILY DETACHED
SAS LOG/GAS LIGH7ER
a1N�LE
aProposed
Use
RESIDENTIAL
Use Zone Permit Level
I FULL/FINAL
Subdivision PUD
Filing
Q
Building Valuation
345
-
Subdiveion/PUO
w
FRONT
J
Lot Block
Parcel No
87304-14-007
ACCOUNT
FEE
DATE PAID
Last nrsc
SAEVERSTAD
HARRY
M1
SLOG PERMIT FLAT
15.00
Lot Area
",
zAddress
--'CITY SALES-1JSE-TA
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-Plat
City
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3
1636 COLLINDALE DR
FORT COLLINS
v _
_ _^ _
State
Zip
Phone No
Off St. Parking
O
CO
84525
2239730
Company Name
Contractor License No
• • •
g
FRIENDLY FIRE, INC
5-1065
QI
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CALL 221-6769
Address
City
State
1802 LAPORTE.AVENUE .
FT CDLLINS
CD
„ TO SCHEDULE INSPECTIONS
UZV
---- --.___.._ _ ._. _— _
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t (See reverse side for
Phone
Sales Tax No.
80524 1
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_ _.. -- ..
. _ _
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
Cl L5 P yrlT i
Building Square Footage
No. of Stones
Bldg. Height
TOTAL FEES
1C) V4
n Vh
i '+ {E�y 15
9z
wOccupant
Load
-
Occupancy Separation
Area Separation
Fire Containment
3
/ 1%92 D iBB000
u.
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
F'ueplace/Stoves
Easement
Stock Plan
Options
a j
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Z
O
Text
a
INSTALL GAS LOG
41 i
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r
ZBA Case No.
BBA Case No.
• •,
Permit Dale
b, 1992
DEPARTMENT
Permit No.
0921128171AY
• •a •iAs
a condition for the issuance of a permit, i hereby declare that 1 am an owneror
the owner's agent, authorized to perform the proposed work on the property
7STATUSDATE
described herein. 1 agree to comply with all the requirements contained herein,and
Mechanical
City ordinances, and State laws associated with such work. I understand that
__.___.__v.___.._._.._--
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such permit may be revoked in the event that issuance was based on incorrect
information. This permit shall become null and void if the work authorized by
----'
.
such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
Plumbing'
1
Signature
Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD