HomeMy WebLinkAbout4213 FALL RIVER DR - PERMITS - 7/23/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-676
4a
REAR
LAW o BUILDING PERMIT
32
JOB SITE ADDRESS
I
1,011 Q
f± LEFT RIGHT
F,
Permit Type
Work Type
Category Type
aProposed
Use -
use zone
Permit Level
Subdivision
PUD
Filing
Q
Building Valuation
20
Subdivision/P O
wIjT1
I rlU FARr
48242
FRONT
J
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
First
M ,
Lot Area
410508_
t
City
Plat File No.
zAddress
--PLAN-CHECK-FEE-49.00_
_.BLDG PERMIT WITH
375.97
3
Q01 AR PO
I MCI Akin
—PARKLAND-FEE--------
----625.00-
—
-
o
CITY SALES USE TA
663.33
Off St. Parking
Stae
zip
Phone No,
-
_.STREET.QVERSIZING-
WATER P I F
__-584...00._
1840.00
®�
¢
Company Name
Conme orUcomeNo.
• • •
--SEWER-
--1600.00-
—
eas
city
Stare
DRAIN
STORM DRAINAGE
0.00
CALL 221-6769
--ELECTRIC—UNDERGRO-----355.-00—
TO SCHEDULE INSPECTIONS
p
(See reverse side for
zip
Phone
sales fax No.
U
Inspection Description)
Cons ru ion ype
Occupancy Group
ire nnkle,
�
SBF
FD
UGP
Building SoTg Fmtage -
No. gI 563ries
Bldg. Hugh[
TOTAL FEES
6092.30
WTR
RP
SWR
RE
GL
RM
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
FR
FNB
FP
FNE
EG
FNP
3
No. of Oweling units
No. of Bedrowns
Fireplace/5loves
Basement
Stock Plan 380
0j1ion5 A I F, H
z
FNM
SPI
Te9TOCK PLAN U380
a
OPTION A UNFINISHED BSMT
y
OPTION F OPTIONAL KITCHEN LAYOUT
o
_
OPTION H COVERED ENTRANCE
ZBA Case No. -
BBA Case No.
Per o
DEPARTMENTAL
,n��
ZONL79UARTMENT
STW EO
09
Permit No.
SUB • •
Electrical
NGINE RING
PASSED
910510
As a condition for the issuance of a permit, I hereby declare that I am
-WATER
PASSED_
_910510,
I
_
PASSED
PASSED_
an owner, or the owner's agent, authorized to perform the proposed
STREETLIGHT & POWER
OVERSIZE
910509
work on the property described herein. I agree to comply with all the
P P Y 9 P Y
PLAN _C
PLAN CHECK
PASSED
_916509,
930513
Mechanical
requirements contained herein, and City ordinances, and State laws
I
associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information.
Plumbing#""_
_
ISignature
ORIGINAL - FILE, BLUE - OFFIEt, C4 IARY - SALESTAX, PINK - APPLICANT. TAG - FIELD CARD