HomeMy WebLinkAbout4512 GOSHAWK DR - PERMITS - 1/24/2000Community Planning & Environmental Services
t s 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
JOB SITE ADDRESS 4512 GOSHAWK DR
PERMIT TYPE
RALAD RES ALTERATIONIADDmON
Last Name, First, Middle Initial
ROTH, HAROLD A/LAUREL F
Z Address 4512 GOSHAWK DR city / sftRT COLLINS, CO
3
Zip W526-M Phone No.
Front Setback Rear Setback
28 0 to
BUILDING PERMIT
F IBuilding Valuation $600.00
B0010062
ACCOUNT
FEE
I)AIE 16
FTOO
PERMIT DATb1/2o
W/Sub:
3V SW!/Ui! Tax
Tax
$40.50
00
$2.40
3112442000
j 1 *"M
[1/24/2001)
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
RESIDENTIAL
Construction Type
Occupancy Group:ou*SW*sAhe
Wp No. of Stories
Building Height
O
V
Building Square Footage Stock Plan/Options
_Z
Right Side Setback
Left Side Setback
Z
Plat File No.
ZBA Case Number
Zoning PArict
_
Subdivision/PUD
Filing
Q
wLot
J
Block
Lot Area 0
Parce
Supervisor Cert. No.
cke
Mechanical
License No.
Roofing
License No.
H
Z
0
Framing
License No.
Co
cn
I Plumbing
License No.
ADDED CANTILIVER TO DINING ROOM IN FRONT OF HOUSE
DORMER (FASCIA ONLY) TO FRONT OF HOUSE.
PROJECT HAS ALREADY BEEN COMPLETED.
PERMIT DOUBLE FEE
W
IN
FNP
14
reverse side for Inspection Description
FNB FNE
FNM
As a cond' n 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 Werein. 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 not inspected within 180 days from the date of such permit or from the date of the last inspection.
Lhqvej
Print name of owner/agent Signature DAA46-� '
TOTAL FEES aul.aw