HomeMy WebLinkAbout1415 Blue Spruce Dr - Permits/Addition or Alteration - 09/15/2005Community Planning &Environmental Services BUILDING PERMITPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580 $30 000.00
City of Fort Collins Phone (970) 221-6760 Fax (970) 224-6134 B0505174
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 1415 BLUE SPRUCE DR2,3,4 PERMIT DATE 09/15/2005 rlan Check fee $125.4 9/8/05
PERMITTYPE CIMALAD Com/Ind/MixedAWAddition PERMIT LEVEL ISSU_FUL CATEGORYTYgesearch Laboratories Building Permit H/ Subs $135.$ 9/12/05
Last Name, First, Middle Initial I Construction Type I Occupancy Group
Uj Address
1415 BLUE SPRUCE DR 3
O Zip 80524
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Plat File No.
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1tESSLER CONST. CO, INC
Addr5ess
809 WRIGHT DR
Phon970 663 4428
Electrical
LANDERS ELECTRIC
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Framing
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Plumbing
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HAHN PLUMBING 8 HEATING
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- FORT COLLINS, CO
Phone No. 221-3371
Rear Setback
Left Side Setback
Cj No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
Zoning District CN
(See reverse side for Inspection Description)
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RM
Filing
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FNP
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FNB
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Parcel No. 9701213001
Contractor License No.
B 174
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HAN
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cityTIRELAND, CO 80538
ME 954
License No.
License No.
License No.
License No.
Mr 15
License No
CONSTRUCT A 25' x 40' TEST ROOM WITHIN EXISTING BUILDING
REQUIRES BACKFLOW PREVENTER ON DOMESTIC WATER SERVICE- JOHN NELSON 221-6677
MA
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 fir the to of�Pitfrom the date of the last inspection.
Awe I- �S:SLEl� 9/1,516
Print name of owner/agent Signna ure Date
Building Permit w/ Subs $124.9 9/15/05
CitySates/Use Tax 450.0 9/15/05'
County Sales/Use Tax $120.0 9/ 15/05