HomeMy WebLinkAbout1320 NASSAU WAY - PERMITS - 9/22/2003Community Planning &Environmental Services
FEES
Building &Inspections Division BUILDING PERMITPERMM
�i P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 1320 NASSAU WAY
PERMIT DATE
092220C3
Buiiding Permit a/o Sins
$15.0
9J22J03
PERMIT
TYPE PERMIT LEVEL
SPKLR-R Residential Sprinkler System
ISSU_FUL
CATEGORY TYPE
Residential
W
LU
Last Name, First, Middle Initial
RICHMOND AMERICAN HOMES
Construction Type
Occupancy Group
Z
Address
City/State
w 0
No. of Stories
Building Height
O
ZipCJ
Phone No.
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
! •
O
• • • •
Z
Z
Right Side Setback
Left Side Setback
Plat File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
SPK
Subdivision/PUD
Filing
Q
wLot
Block Lot Area
Parcel No.
0
OCompany
Name
Contractor License No.
RICHMOND AM HOMES OF C0I0
0 '142
Address
City/State
I—
Z
11409 BUSINESS PARK CI" g200
�ONCMONI CO 80504
Phone
Supervisor Cert. No.
0
720 494 5220
License No.
License No.
OMechanical
H
Roofing
License No.
OFraming
License No.
co
Plumbing
License No.
rn
Concrete
License No.
RESIDENTIAL SPRINKLER BEING INSTALLED BY COURMEG LANDSCAPE DESIGN LLC 12936 CLARKSON
WAY THORNTON, CO 80241 303-525-8837
PROVIDE REQ'D BACKFLOW PREVENTER & BACKFLOW TEST RESULTS
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. 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.
Mgvnx
Print name of owner/agent Signature Date
)TAI'FEES