HomeMy WebLinkAbout936 SAILORS REEF - PERMITS - 12/20/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O: BOX 580, FORT COLLINS, CO 80522-0580
am 221-6769
REAR
City BUILDING PERMIT
of rt coums
LEFT RIGHT
JOB SITE ADDRESS
F-
Permit Type
Work Type Category Type
w
EL
Proposed Use
Use Zone Permit Level
i
Subdivision PUD
Filing
Q
Subdivision/PUD
Building Valuation
�
90�1
FRONT
Lot
Block
Parcel No.
_ ACCOUNT
_
FEE
DATE PAID
Last
First
M.I.
Lot Area
JOHNSON
VICTOR
BLDG PERMIT FLAT_
30.00
911.220
z
Address
city
°_,-
CITY AL'ES� U E TA=
0: t�0
9'11220
Plat File No.
gqA
CITTY _SALES_USE.mTA,--
=__0.._0.0—_:
91.1220.
O
State Zip
Phone No.
Off St. Parking
Company Name
Contractor License No.
cc
O
_
•INSPECTIONS
AddressENDLY City State
..- .�.... ���.:�_�_...__.....� _m___._..w._._ .....__..._
_.... __ ....�_. _..- - ._
_— _.._ ..._—._:
CALL 221-6769
Q
cc
TO SCHEDULE INSPECTIONS
z
O
Zip Phone Sales Tax No.
p
(See reverse side for
�
Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES ` -
°
GL
LB
MOccupant
Load
Occupancy Separation
Area Separation
Fire Containment
3
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
, , . rr•
rr -rr•t
MCI
O
..
z
O
- n
rr.er -r
. nn
Text:
irn
.r
,r. yn•2
C,
nt-
U4
ZBA
Case No. -
BBA Case No.
Permit No.
Permit Date
DEPARTMENT '
7TATU
DATE
•
� • •
As a condition for the issuance of a permit, I hereby declare that I am an owner
MIT ISS
Electrical k t
s• t ? ° t�'
�,
or the owner's agent, authorized to perform the proposed work on the property—�—^
_ '__ _ -__ _.m__
__. _ ... _
f` �r ;' •
described herein. I agree to comply with all the requirements contained herein,
and Cityordinances, and State laws associated with such work. I understand that
- '- " - -- _""
- "-"" "" --
Mechanical
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 within
_.._____._.. ..__
180 days from the date of such permit.
____ _ _....__._..._._.. .._, ....._.....-..
__..._ .__.. __.._._
Plumbing
Signature
Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD