HomeMy WebLinkAbout428 S IMPALA DR - PERMITS - 7/31/1997°1 Community Planning & Environmental Services BUILDING PERMIT
Building Permits & Inspections Division
P.O. Box 580 221-6769
C ityof Fort Collins Fort Collins, CO 80522-0580
JOB SITE ADDRESS 428 S IMPALA DR - 80521
POP Y'ROOF w XIIERATION came'91I LE FAMILY DETACHED._,
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Prvt��NTIAL Use Zone Pem,it FULL/FINAL
Subdivision PUD Filing
�J Building Valuation
Subdivision/PUD ° 1550 .
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Lot Block Parcel No. t
`ACCOUNT: DATE:P,
LEONE_ BLDG PERMIT NON S
Ci =CITY-SALES�:USE TA
W. MULBERRY ST FORT COLLINSoiX7UNTY;AL3� TAX
80521 PhOOe'921-0700
FING amm ar °SY $
LONGHORN CT °iry FT COLLINS stalD
Phone 484-7777 SalesroflgI45 _„ _ _ _
Building SquarVootoge
Basement Square footage
No. of atones
emmmg neignr
ID _a.
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Occupancy Load
Occupancy Separation
Separation
Fire Containment
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No. of,pwelling Units
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No. of Bedrooms
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No. of Mooms
Stock Plan/ions
�TQTAC FEES=-
45 '18
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RECOVER WITH.T-LOK ASPHALT
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TAX BASED ON $575 IN MATERIALS
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ZBA Case No.
BRB Case No.
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0972748
Penolt DatgULY 91, 1997DEPARTti1EtJT;
;STATUS `" DATE a°
OTC PERMIT
ISS
As a condition 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 described herein.
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Iagreetocomplywithalltherequirementscontainedherein, and City ordinances, and State
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laws associated with such work 1 understand that such permit may be revoked in the event
that issuance was based on in formation. This permit shall become null and void if
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the work authorizedbysuc er "is not<ommenced, suspended, abandoned, or not
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inspecte t I 180 day, o It ate of such permit.
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Signature�.
SETBACKS
REAR
LEFT
FRONT
RIGHT
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)