HomeMy WebLinkAbout3414 Green Spring Dr - Permits/Air Conditioner - 07/20/2005Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
�iP.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins
E-
$2 300.00
phone (970) 221-6760 Fax (970) 224-6134 B0503792
ACCOUNT
FEE
I DATE PAID
JOB
SITE ADDRESS 3414 GREEN SPRING DR
PERMIT DATE
(� l/2CI /-U0
301dMg Permit Subs
7/2C/S5
;
w/o
b'5.0
PERMIT
TYPE
MECN Mechanical Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
Ine
CIESLA, JIM
Z
Address
City/State
Wp No. of Stories
Building Height
3414 GREEN SPRING DR
FT COLLINS, CO
O
O
Zip
80525
Phone No.
303-710-1932
U Building Square Footage
I Stock Plan/Options
Front Setback
Rear Setback
1-4111
Z
Right Side Setback Left Side Setback
• • •
Z
2
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Descriptions
"I F 1,M
J
Subdivision/PLID
Filing
Q
Lu
Lot
Block
Lot Area
Parcel No.
J
I 8
I 6 0
8609224008
OCompany
Name
Address
Contractor License No.
City/State
Z
O
Phone Supervisor Cert. No.
U
Electrical License No.
-
rc -i nTI Tn i rn r ��
W
Mechanical
License No.
O
T COMFORT, INC.
11321
Roofing
License No.
H
License No.
OFraming
U
Plumbing
License No.
m
N
Concrete
License No.
INSTALL AIR CONDITIONING
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.
Print name of owner/agent
Date
TOTAL FEES
$1