HomeMy WebLinkAbout636 PETERSON ST - PERMITS - 10/12/2000Community Planning & Environmental Services BUILDING PERMIT
Building Division
PERMIT FEES
&Inspections
P.O. Box 580 281 N. College Ave.
Building Valuation 41.108.000-00
Fort Collins, CO 80522-0580
B 14M7
csev°f F� Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PA
ID10l121M
JOB
SITE ADDRESS exPETE:F=NST �=
PERMIT DATE
PMnCh"Fw
CIV ,I" Tom
$281.45
$1..wn+ CM.00
i
1 �
PERMIT
TYPE
RALAD F ES ALTERA TIOWADDITION
PERMIT LEVEL
MW- FM
CATEGORYTYQE
L
Last Name, First, Middle Initial
Construction Type
'Occupancy Group
Z
Csm SdwAAwT*t
$1111"..
Address
City / State
No. of Stories
'Building Height
3
1ST
FORT OIDIJ."' CO29
O 2
Q
Zip Phone
No.
Builtling Square Footage Stock Plan/Options
99524-3134
490�=
gpp -
*'
g
Front Setback Rear
Setback
'
Z
z
•
Right Side Setback Loft Side Setback
10 3
Piat File No. ZBA Case Number Zoning District
•
(See (See reverse side or Ins ection Description)
-
2301 GW
N
Subdivision/PUD Filing
OF RP RM
J
<
GL IN FM
Lot Block Lot Area C Parcel yy13mo5 7!1
w
Name Contractor License No.
FI) SPI UGP
OCompany
GWEN
I RS W. 02.25
FR FP RE
Address ,City/State
319 E. MAONOIA STREET
FORT COLLINS, 00 59524
O0
Phone Supervisor Cent. No.
970491-M 1241-D2
Electrical License No.
-
ICLE ELECTRIC ME45/
Mechanical
License No.
vFORICIDLIMMEATM&AIR
H-1309
Roofing
License No.
Z
KESSLER ROOFING W
R-1229
0
Framing
License No.
co
Plumbing
License No.
N
PUM&W &HEATING
MFL137
SECOND STORY ADDITION INCLUDING 3 BEDROOMS AND 2 BATHROOMS
As
a con i on 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
describe
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 not inspected within 180 days from the date of such permit or from the date of the last inspection.
I / Signature �Y4 ~� Date c
TOTAL FEES
Print
name of owner/agent