HomeMy WebLinkAbout5209 Mill Stone Way - Permits/Sprinkler - 05/23/2005Community Planning &Environmental Services
Building & Inspections Division BUILDING PERMITPERMIT
FEES
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 5 Q 17 9 9
$ 25
0 0.0 0
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 5209 MILL STONE WAY
PERMIT DATE rr,, //'�
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$15.0
/
5/13/u5
PERMIT
TYPE PERMIT LEVEL
SPKLR-R Residential Sprinkler System ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
w7
Address City/State
p
No. of Stories
Building Height
7
O
zipOv
Phone No.
Building Square Footage Stock Plan/Options
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)
SPK
J
wLot
Block Lot Area Parcel No.
0 8605461011
Company Name Contractor License No.
STANDAI;D PACIFIC 132 73
Address
6061 S. WILLOW nS" 11232
City/State
GREENWOOD VILLAGE 80111
Z
OOu
Phone Supervisor Cert. No.
303 179 4100
Electrical License No.
W
Mechanical
License No.
CRoofing
License No.
License No.
OFraming
8
Plumbing
License No.
N
NEW CONCEPTS PIH, n
MP 3 56
Concrete
License No.
RESIDENTIAL SPRINKLER PERMIT - INSTALLED BY BATH LANSCAPING INC, 2000 E. PROSPECT RD, FC
80525 484-5022
FCLWD
PROVIDE REQ'D BACKFLOW PREVENTER & BACKFLOW TEST RESULTS
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.
name of owner/agent Signature Date
Print
TOTAL. FEES
$15