HomeMy WebLinkAbout424 PINE ST - PERMITS - 1/5/2005Community 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
PERMIT TYPE
BUILDING PERMIT
Building Valuation
B0500052 ACCOUNT
PERMIT DATE
LEVEL ICATEGORY
Last Name, Fir'st,'Miiddle Initial """ "'"'
artstruc ion Type
Occupancy roup
in
w
Add e
City/State
No. of Stories
Building Height
0
V
Zip
Phone No.
Building Square Footage Stock Plan/Options
FronrUefuNcR
Rear Setback
0
•
Z
• • •
MI
Right Side Setback Left Side Setback
Q
N
Plat File No.
ZBA Case Number Zoning District
(See reverse side for Inspection Description)
J
Subdivision/PUD
Filing
a
SBF FNB SPI
U,
J
F r
Lot
Block
Lot Area
Parcel No.
Comoanv Name
r t—t— 1 — :o N�
94112299969
City/State
License
ce
nnecnanicai
License No.
R
N
URoofing
License No.
F—
Z
Framing
License No.
U
Plumbing
License No.
N
Concrete I License No
BUILD SAND BOX WITH SHADE STRUCTURE PER SUBMITTED DOCUMENTS.
I8
BuildingPermit a/ Subs $68. 1 1 5/05
/
Plan 5eck Fee $32,8 1/5/05
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 d void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days f rIpa :date o such permit or o the date of the last inspection.
Pint name of owner/agent' ignature Date TOTAL FEES