HomeMy WebLinkAbout921 E PROSPECT RD - PERMITS - 12/7/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6761-6769
REAR
ttye rICollms, BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
F
Permit Type
Work Type Category Type
dProposed
Use
Use Zone Permit Level
Subdivision PUD ❑921 E PR RECT RD
PERMIT FEES
s°�tIL19IG ALTERATION
Building Valuation MISGELLANEOUS OTHER
W
FRONT
Lot MISCELLANEOUS
Block
Parcel No.
�(j iFlluiaL
ACC69
FEE
DATE PAID
Last
First
M.I.
Lot Area
uU
3000
Address .. City
Plat File No
State Zip
Ccwx Name JIM, JU
Phone No.
Mtraetnr License No.
Off St. Parking
O
PLAN CHECK FEE.
0 IDO
941207
• •INSPECTIONS
SLOG PERMIT WITH
51.98
941207
13925 YORKTOWN CT
City FORT COLLINS
state
CITY SALES USE TA
45.00
941207
CALL 221-6769
TO SCHEDULE INSPECTIONS
Zip GO 80526 Ph°ne 484332 Sales Tax No.
(See reverse side for
Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
v_
Q
UGP,
.UAE.,
GL
a
RM
N
FNE
FNP
FNM
o
HC
SPI
HD
CHANGE OF OCCUPANCY FROM R-3 TO B-2
ALTER BATHROOM H/C PARKING
ZBA
Case No.
BBA Case No.
•
Permit No
Permit Date
DEPARTMENT
STATUS
DATE
•
•
Electrical
a permit, I hereby declare that I am an owner
As a condition for the issua4coy
or the owner's agent, authperform the proposed work on the property
described herein. 1 agree to with all the requirements contained herein,
and City ordinandl9}Wi8$ocia{�NMB jRh 17vPrkjR*Werstand that
Mechanical
such permit ynaybe revokeeve nce was based on incorrect
PLAN CHECK
PASSED
941207
information. Thispermit some null and void if the work authorized by
such permit is not commertlpended, abandoned, or not inspected within
180 days from the date of such permit.
Plumbing
Signatpre
Dete �.7
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD