HomeMy WebLinkAbout636 ROCKY MOUNTAIN WAY - PERMITS - 5/14/1991Community Planning & EnvironmentalSETBACKS Services BUILDING PERMIT
Building Permits & Inspections Division
REM
PO. Box 580 221-6769
c;tyorF� t
Fort Collins, CO 8052MS80
LEFT RIGHT
JOB SITE ADDRESS 636 ROCKY MOUNTAIN WAY
p-
H
P ,tmit Type
SAS LOG/GAS LIGHTER
Work Ty Cate o TYPE _
NEHI �1�NGLE FAMILY DETACHED
ys
d
Pro sed Use
RprSIDENiIAL
Use Zone Permit Level
FULL/FINAL
Subdivision ❑ PUD
Filing
J
FRONT
Subdivision/PUD
Building Valuation 851
W
Lot
Block
Pa 9 I(2 62— 2 0— 015
ACCOUNT
.;Lot
FEE
`DATE PAID
,�
Las _
AMES
First
MARYBETH
M.I.
BLDG PERMIT FLAT
15.00
Area '
3
CI [ Y CAI E S U`aE I A
COUNTY SALES TAX
®*0
0.00
fi3 ROCKY MOUNIAIN
'irORT COLLINS
Plot File Na.
O
St t
��
Zip 80526
Phone No.
225-6363
Off St. Parking
C��.pime
YO ACE SFRVICES ETC...
Contractor Licen No.
FU-1�231REQUIRED
! ' B INSPECTIONS
CALL 221-6769
A de _
1014 S TAFI HILL RD
city
FT COLLINS
StatR
l O
TO SCHEDULE INSPECTIONS
Zi _
i0526
Phone
416-0771
Sales To. No.
-
(See reverse side for Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
GL
LG
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
15.00
Se
me
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
3
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Pion
Options
O
z
0
TIAS LOG INSTALLATION
E
a
U
N
ZBA Case No.
BBA Case No.
DEPARTMENTAL
Permit Dat
• 0961028 APf�IL 4, 1996
DEPARTMENT
STATUS
[SATE`
SUB CONTRACTORS
As a condition for the issuan of a permit, I hereby declare that I am an owner or the
O f C PERMIT
ISS
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
Myct 91ca1
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 ' in 180 d from the date of suc ermit.
PIYTItip9
IV/F�
t
Signet - Date L %/b,p