HomeMy WebLinkAbout6575 ROOKERY RD - PERMITS - 7/9/2004Community 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 6575 ROOKERY RD
PERMITTYPE PEF
SPKLR-R Residential Sprinkler System
Last Name, First, Middle Initial
M: LING, JIM
Z Address City/State
3 6575 ROOKERY RD FT COLLINS, CO
Q Zip Phone No.
W528 377-1193
Front Setback I Rear Setback
0
Z_ Right Side Setback Left Side Setback
Z
Q Plat File No. ZBA Case Number Zoning District
J
Q
wLot Block Lot Area O Parcel No.
J
9� I Company Name I Contractor License No.
Address
Phone
W
Mechanical
License No.
0
Roofing
License No.
H
Z
Framing
License No.
U
m
PlumbingZD
License No.
ELLMANN SERVICEANY
Concrete
License No.
BUILDING PERMIT
Building Valuation
B0404292 ACCOUNT
PERMIT DATE
07/09/2004 Building Permit w/o Subs
ISSU_FUL I I
Construction Type joccupancy Group
ONo. of Stories Building Height
U Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
SPK
SPRINKLER SYSTEM TO BE INSTALLED BY HOLCOMB LANDSCAPE 928 N TAFT HILL RD FT COLLINS. CO
80521 472-1712
8 I PROVIDE REQUIRED BACKFLOW PREVENTER AND BACKFLOW TEST RESULTS
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.
$2,500.00
FEE DATE PAID
$15.0 7/9/04
Print name of owner/agent
Date
TOTAL FEES