HomeMy WebLinkAbout4916 CHIPPENDALE DR - PERMITS - 12/4/1990DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
�� �t�o rt li1B BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
F
Permit Type
MA Type Categary Type
4916
CHIPPENDALE OR
R.I.aad Use
GAS LOG/GAS LIGHTER
Use Zone Permit Level
NEWT SINGLE FAMILY DETACHED
1
RE%W& kUg1 ] PUD
Filing
q
Building Valuation
Subdivision/PUD i
w
FRONT
ILot
Block I
Parcel No
ACCOUNT
2"FEE
DATE PAID
Last
EI
first I
M.I.
Lot Area
w
BLDG PERMIT FLAT
1S-'r�o
as
aty
Plat File No.
Z
311
ig
CITY SALES USE -TA
l
State
Lp
Phone No. I - -- --
O1
s I
No
Company ma
Cunha en
• •
Q
q
CALL 221-6769
Ad rJENOLY FIRE,
City
State
s
TO SCHEDULE INSPECTIONS
- _ _
_ _
_ _
(See reverse side for
4802 -
es Tax No.
Inspection Description)
Con ype
Occupancy Group
Fire Sprinkler
GL
LG
Building square Fbogge
I
No of Stones
'
eldq. Height
TOTAL PEES
s
'.Pant Load
occupancy separation
Area separation
Fire Containment 15.00
3
No. of Dwelling Units
No. of Bedrooms
FireplaceJstoves
Basement
Stock Plan
Options
o
I
Text'.
u
GAS LOG INSTALLATION - VALOR
_cG
,n..`nn
t
ZSA Casb No.
BSA Lase No.
Permit Date !
DEPARTMENT
STATUS
DATE
Poona No.
I
SUB CONTRACTORS
Electrical
As a condition for the issuance of a permit, I hereby declare that I am
OTC- PERMIT
ISS-
an owner or the owner's agent, authorized to perform the proposed
work on the property described herein. I agree to comply with all the
Mechanical
retquirements contained herein, and City ordinancl and State laws
associated with such work. I understand that such 'permit may be
revoked in the event at issuance was based on incorrect information.
Plumbing
-
-
Signature 1 j
Date
IORIGINAL iFILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD