HomeMy WebLinkAbout4700 BOARDWALK DR - PERMITS - 3/22/2006AmCommunity Planning &Environmental Services BUILDING PERMITPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580 6 Q 0. 0 0
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 60601138
ACCOUNT FEE DATE PAID:
PERMIT DATE
JOB SITE ADDRESS 4700 BOARDWALK DR 03/22/2006 Building Pemit w/o Sub $15. 0 3/22/0
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MECH Mechanical Alteration ISSU_FUL Non Res Bldg Cons
Last Name, First, Middle Initial Construction Type Occupancy Group
Ce BENENSON BOARDWALK FT COLLINS
W Address City/State w
72716-0555
1301 SE 10TH ST BENTONVILLE, AR 229-0797 O No. of Stories Building Height
O Zip Phone No. U Building Square Footage I Stock Plan/Options
Front Setback Rear Setback
L7
Z Right Side Setback Left Side Setback • •
Z111111110=4911 NEI' •
� Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
_ Subdivision/PUD Filing G L f N M
Q
wLot Block Lot Area Parcel No.
9601117001
oC I Company Name I Contractor License No.
Address
License No.
0�
Mechanical
License No.
POUDRE VALLEY AIR
H 835
G
Roofing
License No.
H
ZZ
Framing
License No.
U
m
Plumbing
License No.
v7
Concrete License No.
PROVIDE TYPE ii HOOD TO REMOVE STEAM PER 2003 IMC AND 2005 NEC
8
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 permit shall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
0,^ 3-aa-o b
Print name of owner/agent Signature Date
I,1