HomeMy WebLinkAbout1054 Tierra Ln - Permits/Water Heater - 12/20/2009City of
F6rt Collins
/101'00�
Site Address: 1054 TIERRA LN, 101
Job Valuation: $813.00 Category: Residential
Owner: HUBER, DANIEL A
1054 TIERRA LN UNIT 101
FORT COLLINS, CO 80521
Zoning: Front setback: _
Zoning district: LMN
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Stock plan #:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
BUILDING PERMIT #: B0908116
Issued Full: 12/22/2009
Permit Type: Residential Water Heater
Phone: 970-443-7054
Rear setback: Right setback: Left setback:
Plat File #: ZBA Case #: Minor Amend #:
Filing #:
Com sq ft: Ind sq ft:
Occ Group: Const Type:
Stock plan options:
Lot #: Block #:
Basement sq ft:
License #: MP-644 Supervisor cert #:
Phone: 866-898-0008
License Number
I-0008
MP-644
t�'
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
Ins ections: FNP FNE FNM
TOTAL FEES PAID AS OF 12/22/09 $15.00 Payment method: Trust Account
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and 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 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.
Signature: Print Name: Date:
Form Revised Oct 2008