HomeMy WebLinkAbout4107 SUNCREST DR - PERMITS - 11/18/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
10B SITE ADDRESS 4107 SUNCREST DR
PEI
'ERMIT TYPE
MECH Mechanical Alteration
Last Name, First, Middle Initial
fy- JACOBSON, WALLY
w City/State
Z Address FORT COLLINS,
3 4107 SUNCREST DR
� Zip Phone No.
$0525 223-2276
Front Setback Rear Setback
Z_ Right Side Setback Left Side Setback
Z
� Plat File No.
ZBA Case Number Zoning District
Subdivision/PUD Filing
wLot Block Lot Area Parcel No. 7 9 q
J
O �I JLL
Company Name Contractor License No.
O
Address City/State
F-
0 Phone Supervisor Cert. No.
I VElectrical License No.
BUILDING PERMIT
Building Valuation
B5357531 ACCOUNT
ESquareFootage
MIT DATE
1 / 18/2_J0', Baiiuinq Permit w/o Subs
-EVELEGORY TYPE
ISMResidential -
Occupancy Group
LU
0 Building Height
Otage Stock Plan/Options
iE(See reverse side for Inspection Description)
0L f0t'
26005
W Mechanical
License No.
P,01,102F VAII rn
G
C
License No.
Roofing
Z Framing
License No.
O
V
License No.
co Plumbing
N
License No.
Concrete
FURNACE REPLACEMENT
8
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.
Date TOTAL FEES`
Print name of owner/agent Signature
FEE DATE PAID
15.0 S if i0 Jii3
$1