HomeMy WebLinkAbout4229 S MASON ST - PERMITS - 3/5/2004Community 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
JOB SITE ADDRESS 4229 S MASON ST
'ERMIT TYPE
SPKLR-R Residential Sprinkler Syl
Last Name, First, Middle Initial
HOMOLKA ROBERT L
Z Address City/StatE
3 4229 S MASON ST
O Zip
I Phone No.
Z Right SiESetbaclLeft Side Setback
ZNPlat File ZBA Case Number Zoning District
_ Subdivision/PUD Filing
Q
wLot Block Lot Area Parcel No.
o-' Company Name 9713540601
QI Contractor License No.
Phone
License No.
OMechanical
License No.
H
U Roofing
License No.
I—
Framing
O
License No.
U
Ca Plumbing
License No.
N
Concrete
License No.
SPRINKLER SYSTEM BEING INSTALLED IN THE FRONT ONLY
PROVIDE REQ'D BACKFLOW DEVICE AND TEST RESULTS
X
w
BUILDING PERMIT
Building Valuation
B0101117
ACCOUNT
PERMIT DATE
(}_ 1�;;-::�,.; � ��Ilu?n� �cr!Rit ii;u SubsLEVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Taz
Construction Type Occupancy Group
w County Sales/Use Tax
in No. of Stories Building Height
U
Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
SPK
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 uch permit or fr m the date of the last inspection.
Print name of owner/agent Ignature Date TOTAL FEES
FEE
$32.1
DATE PAID
3/J/UA4
3//5/04
J/Jju