HomeMy WebLinkAbout6107 MELROSE CT - PERMITS - 12/5/2005Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
10B SITE ADDRESSDECI
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BUILDING PERMIT
Building Valuation
B0507101
ACCOUNT
PERMIT LEVEL
ce
Addre City/State FORT COLLINS, CO
O
zip 80525
Phone No. -
Front Setback Rear
Setback
Z
Right Side Setback Left Side Setback
Z
Plat File No.
ZBA Case Number Zoning District
Subdivision/PLID
Filing
�j
Lot Block
J
Lot Area
Parcel No.
OCompany
Name Contractor License No.
Address City/State
H
ZZ
Phone Supervisor Cart. No.
V
Electrical
License No.
aeMechanical
License No.
Roofing
License No.
Framing
O
License No.
V
Plumbing
License No.
kn
Concrete
License No.
k onstruction Type Occupancy Group
w No. of Stories Building Height
O
V Building Square Footage O 1 Stock Plan/Options
e reverse side for Inspection Description)
IN FNB FNE
FNP FNM SPI
UP FR FP
RE
BEDROOMS, BATHROOM, PLAYROOM, TV ROOM, BAR AND A GAS STOVE.
CONCEALED STRUCTURE FORM ON FILE No Cooking appliance/device
permitted in basement per
L.U.C. 5.1 I Dwelling Unit
definition
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. 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 m
^Qit shall become null and void if the work authorized by such permit is not
commen�ced, suspended,
,abandoned or inspected within 180 days from a to of such permit or from the date of the last inspection.
P4
tye� 6 — A'�
Print name of owner/agent Signature Date
OTAL FEES`
$20,136.00 1