HomeMy WebLinkAbout1100 Stratborough Ln - Permits/Mechanical - 10/13/2005Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 1100 STRATBOROUGH LN
PERMIT TV PE PERMIT
MECH Mechanical Alteration
Last Name, First, Middle Initial
ANDERSON, ROY EISANDRA K
Address City/State
sss 1100 STRATBOROUGH LN FORT COLLINS, CO
0 Zip Phone No.
80525-2344 223+-2136
0
Z Right Side Setback Left Side Setback
Z
2 Plat File No. ZBA Case Number Zoning District
J Subdivision/PUD Filing
a
WLot Block Lot Area 0 Parcel No.
8730210026
n Company Name Contractor License No.
City/State
License No.
OMechanical
POUDRE VALLEY AIR
G
Roofing
License No.
H
ZZ
Framing
License No.
8
SO
Plumbing
License No.
to
Concrete
License No.
REPLACE HEAT PUMP
8
I-
BUILDING PERMITPERMIT FEES
Building Valuation
B0506048 $7 9212.00
ACCOUNT FEE I DATE PAID
PERMIT DATE
10/ 13/2005 Building Permit W/o Subs $15.0 10/13/D5
ISSU_FUL I----- � " ` Reside:
Construction Type Occupancy Group
p No. of Stories Building Height
O
V Building Square Footage Stock Plan/Options0
REQUIRED INSPECTIONS
CALL 221-6769
(See reverse side for Inspection Description)
CL FNN
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