HomeMy WebLinkAbout4703 BOARDWALK DR - PERMITS - 9/25/2006Community Planning & Environmental Services BUILDING PERMIT
PERMIT FEES
3r Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
CityofPortCollins phone (970) 221-6760 Fax (970) 224-6134
B0601 130
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
995
Building Permit w/o Sub
$50.
0 9/22/0
PERMITTYPE
PERMIT LEVEL
CATEGORY TYPE
.
G
t. - _._.. _..
...... �_.
Last Name, First,' n tial
ha
onSRuc ion Type
rou
Occupancy p
Z
Atldres IRAMONT OFFICE PARK 0City/State
p No. of Stories
Building Height
3
'
Zip -
Phone No. FeRT0
Building Square Footage
Stock Plan/Options
Front MekwRear
Setback
!,
Z_
Right Side Setback Left Side Setback
Z
• •
Plat File No. ZBA Case Number Zoning District
Subdivisioni Filing
(See reverse side for Inspection Description)
CL FNM
a
wLot
J
Block Lot Area Parcel No.
Company Name Contractor License Ac.
o'
O
Addrestl I & Aicr t i City/State H 18311
Z
Phone2 0 1oel Supervisor Cert. No. FORt v N t v 2
V
Electri I u License No.
0
Mechanical
License No.
Q
Roofingr & H HIU & AM ING
License No. t1 0
ce
F.
Z
Framing
License No.
0
V
m
Plumbing,
License No.
Concrete
License No.
INSTALL WALL MOUNT AIR CONDITIONER PER 2005 NEC. EXTERIOR PORTION OF UNIT WILL NEED TO BE
PAINTED THE SAME AS THE BUILDING
V
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.
_
name of owner/agent Signature Date
TOTAL FEES
MCA
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