HomeMy WebLinkAbout644 PETERSON ST - PERMITS - 6/4/1997tee., SETBACKS
Community Planning & Environmental Services BUILDING PERMIT
Building Permits & Inspections Division REAR
P.O. Box 580 221-6769
CitYotFortCollins Fort Collins, CO 80522-0580
JOB SITE ADDRESS ,,vv q T _ LEFT RIGHT
F Permit Type Work Type Category TYPE
TRRIGAT
( c•
Proposed Use Use Zone Permit Level
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TDI--NTlAI LLLJ
Subdivision PUD filing PERMIT 'PEES
J
Subdivision/PUD Building Valuation ' FRONT
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J Lot Block Parcel No.
ACCOUNT FEE DATE PAID
Last First M.I. _ — Lot Area
AMFSON CURT .3LDG PERMIT FLAT 15.00 970604
Z Address cty ITY SALES USE TA 40.50 970604 Plat File No.
3 `' IOUNTY SALES TAX 3.38 970604
O State Zip Phone No. Off St Parking
CO
W Company Name Contractor License No. REQUIRED INSPECTIONS
Address City Stale CALL 221-6769
TO SCHEDULE INSPECTIONS
O Zip Phone sale. To. No. (See reverse side for Inspection Description)
Construction Type Occupancy Group Fire Sprinkler Fireplace/Staves
Building Square Footage Basement Square Footage No. of Stories Building Height
ISS
Y Occupancy Load Occupancy Separation Area Separation Fire Containment
W
0
_ 2 No- of. Dweltiaq-llmts_ N•_L.of.Bedrooms- No- of Bathrooms- Stock -P1on/Options_ -
LL TOTAL FEES
Z Te.t
I;A AR
o SPRINKLER SYSTEM INSTALLED BY ADVANCED DESIGN 326 EDWARDS ST FT C01_LTNS CO
80524
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ZBA Case No. BRB Case No.
DEPARTMENTAL
II
Date
'JUNE 4 1997 DEPARTMENT STATUS DATE SUB CONTRACTORS
Electrical
As a condition for the issuance of a per.W�jit, I hereby declare that I am an owner or the OTC PERMIT ISS N/A
owner's agent, authorized to perform tNe proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State Mechanical
laws associated with such work. I understand that such permit may be revoked in the event N/A
that issuance was based on incorrect information. This permit shall become null and void if Plumbing
the work authorized by such permit is not commenced, suspended, abandoned, or not N/A
inspected within 180 days from the date of such permit.
/ Other
/ N/A
Signature Dale --� 9