HomeMy WebLinkAbout4913 LANGDALE CT - PERMITS - 8/17/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
1-011111IS BUILDING PERMIT
11y.ef k0ft
LEFT RIGHT
JOB SITE ADDRESS
V-
Permit Type
4Wrk Type Category Type
toProposed
Use -
Use Zone Perma Level
Subdivision PUD
Filing
Q
Building Valuation
Subdivision/PUD
0do3174
FRONT
J
Lot
Block
Parcel No.
96022-10-003
ACCOUNT
FEE
DATE PAID
Last
First
MI.
Lot Area
TARLECKI
GREG
BLDG PERMIT FLAT
15.00
ZAddress
CITY SALES USE TA
0.00
City
Plat File No.
0
Sort
t
Zip
Phone No.
Off St Parking
¢
Company Name
Contractor License No.
REQUIRED INSPECTIONS
City
State
GAddress
CALL 221-6769
TO SCHEDULE INSPECTIONS
o
(See reverse side for
Zip
Pnpne
sales Tax No.
V
_ _
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
ISS
Building Square Footage -
No. of Stories
Bldg, Height
TOTAL FEES
15.00
Occupant Load
Occupancy Separation
Area Separation
fire Containment
�y
No. of Dwelling Units
No. of Betlrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
O
2
O
Tex['
a
AUTOMATIC SPRINKLER SYSTEM
E,
INSTALLED BY BATH INC
17AUG
2 HH 2
3
0
17AUG
2 HH 2293
ERFtIT
$15. CON
AMT
UE
$15.00
CHECK
$15.00
Case
BBA Case No.
ZBA No.
11 a Will. I ig k,
DEPARTMENT
I Ill
STATUS
DATE
Pemat Nb. 0922143
AUPermn DaceGUST 17 1992
• •
Electrical
OTC PE
MIT ISS
'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- 1 agree to comply with all the requirements contained herein,
and City ordinances, and State laws associated with such work.I understand that
- - - - "- -
-
_ _
Mechanical
such permit may be revoked in the event that issuance was based on incorrect
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.
- " - - - - - -
#
Plumbing
Signature
Data
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD