HomeMy WebLinkAbout823 HILLDALE DR - PERMITS - 6/8/2006Community Planning &Environmental Services
FEES
Building & Inspections Division BUILDING PERMITPERMIT
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B Q 6 a 2 7 2 9
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
823 HILLDALE DR
06/08/2006
Building Permit w/o Sub
Building Permit v/o Sub
$15.
$15.
0 6/8/0
0 6/8/0
PERMIT
TYPE
WTRHTR Water Heater
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residenti
Last Name, First, Middle Initial
Construction Type
Occupancy Group
W
BI ETTI ROBERTS
Wp
Address
City/State
Z
3
No. of Stories
Building Height
823 HILLDALE DR
FORT COLLINS, CO
0
U
Zip Phone
80526
No.
225-9980
U
Building Square Footage Stock Plan/Options
Front Setback Rear
Setback
, •
Z
Z
Right Side Setback Left
Side Setback
• • •
di
Plat File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
F N P
J
Subdivision/PUD
Filing
wLot
Block
Lot Area
Parcel No.
9602308049
OCompany
Name
Contractor License No.
RSHINSKY P & H
MP 143
Address
City/State
1425 LAWTON LANE
FORT COLLINS CO 80524
Phone
Supervisor Cert.'No.
970 493 4355
Electrical
License No.
OMechanical
License No.
F-
Roofing
License No.
Z
Framing
License No.
U
Plumbing
License No.
rn
PSHINSKY
Concrete
License No.
TWO WATER HEATERS
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.
Print name of
Date
TOTAL FEES