HomeMy WebLinkAbout3272 Silverthorne Dr - Permits - 05/29/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
r: P.O. BOX 580, FORT COLLINS, CO 80522-0580
_ ... 221-6769
REAR
- PERMIT
rtvo rtCollins��tJL,'f'�tR „.BUILDING
LEFT RIGHT
JOB SITE ADDRESS -
p.,
Po tType..., .
_..
Work Type' Category Type -
_
aProposed
Use Use Zone I Permit Level
Subdivision PUD Kiting
PERMIT FEES
Q
Subtlivision/PUD Building Valuation
FRONT
;ot,
!_13 AQPag`
P E:.w_ fi_..
.7y_
._.. ..
..._
MPa.rLc_e.lN
.
Lot Area
ZAddress
-
City
Plat File No.
State
Zip
Phone No.
Off St. Parking
O
Company Name
Contractor License No,
REQUIRED INSPECTIONS
F
Q
Address City
State
CALL 221-6769
TO SCHEDULE INSPECTIONS
o
(See reverse side for
Zip
Phone
Sales Tax No
U
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
J
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
Occupant Load Occupancy Separation
Area Separation
Firs Containment
O
No of Dv>elhng Units
No. of Bedrooms
_Fireplace/Stoves
Basement
Stack Plan
Options
-
O
N
O
_
ZBA Case Nqs f
BBA.CosB,No. _
DEPARTMENTAL
Permit No.
Permit Date
DEPARTMENT
STATUS
C 0f:
SUB CONTRACTORS
Electrical
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 the
Mechanical
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.
Plumbing
Signature
Date
OHIGINAL - FILE, BLUE - OFFICE. CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CAHU