HomeMy WebLinkAbout4501 VISTA DR - PERMITS - 10/15/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
Citvof Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 4501 VISTA DR
PERMIT TYPE PERMIT
RALAD Res Alteration/Addition
Last Name, First, Middle Initial
oe WIGGINS F WAYNE/LORI G
Z Address City/State
3 4501 VISTA DR I FORT COLLINS, CO
Zip Phone No.
80526 282-8342
Front Setback Rear Setback
o-EXIST 20
,Z Right Side Setback 25 Left Side Setback
21
2 Plat File No. ZBA Case Number Zoning District
BUILDING PERMIT
Building Valuation
����1 ACCOUNT
PERMIT DATE
i) y 1 J 200 Nail lvheck Fee
.EVEL CATEGORY TYPE
ISSU FUL kcsry Bldg >650<2500-Res BuiIuir,g Perifiit ;;/ Sins
Construction Type Occupancy Group
_ "it_y Jabslilge Tax
Wp No. of Stories Building Height
0 1 0 "ounty Sales/use Tax
Building Square Footage Stock Plan/Options
St0"tiNater; 1CI, 11 i1u
RL
J Subdivision/PUD Filing
a
wLot Block Lot Area Parcel No.
0 9734311016
OCompany Name Contractor License No.
UAddress City/State
H
Z Phone Sunarvicnr f:crT Nn
License No.
Mechanical
License No.
O0
Roofing
License No.
F
OFraming
License No.
U
ca
Plumbing
License No.
t�
Concrete
License No.
(See reverse side for Inspection Description)
SBF RP RM
CL IN FNB
FNE FNP FNM
I SPI UCP
FIR FP RE
HOMEOWNER TO CONSTRUCT ADDITION TO INCLUDE KITCHEN AND BASEMENT
t-- AFFIDAVIT AND TEST ON FILE
x
w
Review by KM
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
5l o enced, suspe d d, abandoned or inspected within 180 day from the date o such'VerTit or from the date of the last inspection.
t name of own r/agent Ira u a Date
TOTAL FEES
FEE
y 113
DATE PAID I