HomeMy WebLinkAbout6127 TILDEN ST - PERMITS - 9/17/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City ofFort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 6127 TILDEN ST
PERMIT TYPE
NSFRD NEW SF DETACHED
Last Name, First, Middle Initial
W r1 r W
uu Address
MICH,
O zip
80111
Front Setback
Z Right Side Set
Z
0 Plat File No.
a
w Lot
J
o' Compar
Address
1.
O Phone
v 30
Electrice
oe Mechani
O
Roofing
H
OZ Framing
m
D Plumbing
rn nni
W
I —
Phone No.
303-486-5000
Rear Setback
16.34 40
Left Side Setback
5.5 6.33
1319-3 ZBA Case Number Zoning District
Block
Lot Area
Parcel No.
5884
I
Contractor License No.
n 206
City/State
GREENW0,00 VIIIAG
Supervisor Cert. No.
961 n,
ul
License No.
License No.
�n
License No.
1
License No.
License No.
LMN
NEW SINGLE FAMILY - STOCK PLAN # 1468 WITH UNFINISHED BAS
E-STAR
MIKE HOLZ
BUILDING PERMIT
Building Valuation
���$�
ACCOUNT
PERMIT DATE
+�J i r j 2���i
Pidn CiicCk Fee
8ui iding Pewit a/ SJbs
City Sales/Use Tax
County Sales/Use Tax
LEVEL
ISSU_FUL
CATEGORY TYPE
Single Family Detach Res
Construction Type
Occupancy Group
D #
p No. of Stories
0 2
Building Height
27
Building Square Footage I Stock Plan/Options
Parkland: Colimnunity
REQUIRED •
ii Parkland: ';eighborhood
CALL •
TO SCHEDULE INSPECTIONSLibrary
Capital Exp.
(See reverse side for Inspection Description)
S8F RP RM
uencral Cut. Capt. Exp.
OL IN FNEl
Police Capital Exp.
FNE FNP FNM
FO SPI U0P
Fire Capital Exp.
SWR WTR FR
Street 0versizing: lies.
n,
F P R E E 0
Lar imer County Reg. had
Electric Underground
Elec: PILOTS
Elec: Comm. Revenue
ESTAR
Elec: Temo. Pedestal
Elec: City Energy Tax
Elec; ST/CO Energy Tax
Water PIF
EMENT
AND OPTIONS 1.3.4
Water Right
Poudre School District
Stormwater Dev. Review
Stormwater: Foss i i Creek
As a &ndition 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.
ylSAaA I -/ 7��%
Print name of ow er/agent Signature Date
TOTAL FEES
FEE
41n7 n
.V VI U
$803.1
$2,199.3)
$746.j
$1 629.V
1
V ,463.0
$489.0
$222.0
$121.0
$175.0
$1,973.0
$164.0
$428.0
$2.4
$40.3
$93.3
$ 12
$t r;�
$2,492.81
$4,269,3;
$763.0:
$92.1.
$325.01
DATE PAID I
03
/16r03
9/16/03
9/16/03
9/16/03
9//16/03
6/103
9/16/O3
9/116/03
9/16/03
9/16/03
9/16/03
9/16/101,
9/16/03
9/16/C3
9/16/03
9/1f/03
9/15/03
9/16/03
9/16/03
9/16/O3