HomeMy WebLinkAbout4226 WESTBROOKE DR - PERMITS - 8/4/2004imCommunity Planning &Environmental Services BUILDING PERMITPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580
C%tyofFort Coffins phone (970) 221-6760 Fax (970) 224-6134 60404089.794.00
ACCC)l1NT Ali'
JOB SITE ADDRESS 4226 WESTBROOKE DR PERMIT DATE 0&104/2W4 Plan Check Fee =491 Q 6/25/04
PERMITTYPE PERMIT LEVEL CATEGORY TYPE
NSF'RD New SF Res Detached ISSU_F&F Sing lie Family Detach Res 041 it ENf # $ {
Last Name, First, Middle Initial Construction Type Occupancy Group
ce PITNER C ONSTRUCTQN sN
w Address City/State p No. of Stories Building Height
RICHARD PITNER 3121 MOORS LANE a 2 27
U Zip Phone No. __ ___ __ Building Square Footage Stock Plan/Options
0
20
36
r
Z
Right Side Setback Left
Side Setback
5 1
5
2Plat
File No.
ZBA Case Number
Zoning District
(See reverse
1313.1
LMN
S B F
Subdivision/PUD
Filing
WESTR30QKE R'UD 2
UCP
w
Lot Block Lot Area
Parcel No.
-'
3$ 7470
OCompany
Name
Contractor License No.
C
PITNER CONSTRUCTION
C2 12
Address
City/State
3121 MOORS LANE
FORT COLLINS CO 80526
Phone
Supervisor Cart. No.
970 282 8088
348 C2
Electrical
License No.
W
Mechanical
License No.
CRoofing
License No.
0
Framing
License No.
Plumbing
License No.
WKY MTV VIMRA ! NTA
MD 91R
Concrete License No.
SIPES CONCRETE, INC. ___ CC 12
NEW SINGLE FAMILY RESIDENCE WITH UNFINISHED BASEMENT
ENERGY SCORE
RICK PITNER
,or Inspection DescriF
Fa SPI
SWR WTR
As a condition for the issuance of a permit, 1 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 da s th o such perr r from the date the last inspection.
Print na a of owner dent Signature Date i—