HomeMy WebLinkAbout1133 NASSAU WAY - PERMITS - 8/18/2004Community 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 1133 NASSAU WAY
PERMIT TYPE PEF
LU
Z
Address
City/State
3
O
Zip
Phone No.
W528
267-8994
Front Setback
Rear Setback
0
Z
Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
J �
Q
wLot Block Lot Area Parcel No.
0
OCompany Name Contractor License No.
Address City/State
H
Z Phone Suoervisor Cert. No.
t_lectrical
License No.
jX
Mechanical
License No.
O
Roofing
License No.
H
License No.
OFraming
U
m
Plumbing
License No.
111
Con ret
License No.
BUILDING PERMIT
Building Valuation
B0405289 ACCOUNT
PERMIT DATE
08 18 2004 Building Pemit will Subs
EVEL CATEGORY TYPE
ISSU FUL Residential
Construction Type Occupancy Group
Wp No. of Stories Building Height
O
V Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
SPK
SPRINKLER SYSTEM TO BE INSTALLED BY WATERBOY SPRINKLER 1216 N SHIELDS ST FT OOLLINS. CO
80524 484-4202
51 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.
FEE DATE PAID
$15.0 8/18/04
Print name of owner/agent
Date
TOTAL FEES