HomeMy WebLinkAbout4132 STONERIDGE CT - PERMITS - 3/29/2004Community 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 4132 STONERIDGE CT
PERMIT TYPE PERMIT
ELEC Electrical Alteration
Last Name, First, Middle Initial
GEISERT, DONNA S/MARTIN J
Z Address City/State
3 4132 STONERIDGE CT FORT COLLINS, CO
O Zip Phone No.
80525-3587 1 221-4460
Front Setback1 Rear Setback
BUILDING PERMIT
Building Valuation
B0401637
ACCOUNT
PERMIT DATE 4
4 t..iF-r Buii1 d;Ing breC'Titr. w/o Sutius
.EVEL CATEGORY TYPE
ISSU_FUL Residential
Construction Type I Occupancy Group
0
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Right Side Setback Left Side Setback
Z
NPlat
File No. ZBA Case Number Zoning District
J
Subdivision/PUD
Filing
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wLot
Block
Lot Area
Parcel No.
01
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OCompany
Name
Contractor License No.
H
Q
Address
City/State
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Z
O
Phone
Supervisor Cert. No.
V
Electrical
License No.
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Mechanical
License No.
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Roofing
License No.
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Framing
License No.
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Plumbing
License No.
LO
Concrete
License No.
ADD SUBPANEL IN BASEMENT AND WIRE A/C DISCONNECT
C) No. of Stories Building Height
O
V
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
F N;E RE, rc
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.
$1,200.00
FEE DATE PAID
20.J 3/29if04
Print name of owner/agent
TOTAL FEES