HomeMy WebLinkAbout614 E VINE DR - PERMITS - 6/17/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
Cityof Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS614
PERMIT TYPE
BUILDING PERMIT
Building Valuation
EB0303677 ACCOUNT
PERMIT DATE
UIMALAD COM/IND/MIX-ALT/ADDITION
ISSU FUL
I Accessory Uses -Con
Last Name, First, Middle Initial
Construction Type
Occupancy Group
e
w
Z
BOARD OF COUNIY
Address
City/State
O No. of Stories
Building Height
ZipU
Phone No.
Building Square Footage
Stock Plan/Options
80525
Front Setback
Rear Setback
! ,
Z
Right Side Setback Left Side Setback
• • •
Z
2
Plat File No.
ZBA Case Number Zoning District I
(See reverse side for Inspection Description)
SBF RP RM
J
Subdivision/PUD
Filing
Q
W
Lot Block Lot Area
Parcel No.
G l_ I N F N B
J
0
9701463901
FNE FNP F N M
U G E F D S P I
OCompany
Name
Contractor License No.
U G P S W R W T R
Address
City/State
1612 GREENS
co 80525
FR AW HAN
Phone
Supervisor Cert. No.
ZO
RE
970-223-3871
Electrical
License No.
0�
Mechanical
License No.
0
Roofing
License No.
F
OFraming
License No.
U
co
Plumbing
License No.
N
Concrete
License No.
CONCRETE WORK ONLY FOR FUEL TANKS FOR LARIMER COUNTY FLEET SERVICES, MUST PULL
ORIGINAL PERMIT PRIOR TO GOING ANY FARTHER THAN CONCRETE.
8
jilding Permit w/ Subs
Ian Check Fee
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.
Print name of owner/agerit Sl§rfature pates TOTAL FEES
FEE I DATE PAID I
$230.18 6/11/03
$110.83 6/17/03
1