HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 11/19/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
City of rt Co BUILDING PERMIT
JOB SITE ADDRESS
r, rni mviPTA Rn 7
-LEFT .. RIGHT
F
Permit Type
Work Type - Category Type
T —_
P tgEll TG
`w
_
ProposecrOse
Use Zone Permit Level
a
P I TF Ai np MnP;: G MTi V P1 nr,
pill I
y
Subdivision ❑ PUD
Filing
Q
Subdivision/PUD
Building Valuation
uj
w
C
FRONT
J
Lot
Block
Parcel No.
ACCOUNT
FEE e`
DATE PAID
Last
First
M.I.
Lot Area '
VANEVEREN
BARRY—SLOG
P_ERI IT__FLAT__w,
• -?�?
.� .1 9
LU Z.
Plat File No.
Address
City
CI- SALES USE TA
,t�-"...
911119
Z
L. LL I^ P T r T
T f7 m R
{O
State Zip
Phone No.
Off St. Parking
t
rn Ar 4^A
Company Name
Contractor License No.
REQUIRED INSPECTIONS
`
Q
CALL 221-6769
Address
City
State
! I
FT rni i 4
rn
TO SCHEDULE INSPECTIONS
z0
(See reverse side for
Zip Phone sales Tax No.
LLALL-4AI4 IArl t
--------
Inspection Description)
•
Construction Type Occupancy Group Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
P..
FNP
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
cc
O
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
w
a : •J _ ._ •
—
O
,-f+.
rr •s c
nrt
z
O
'J
' L_ A :J
..i
ff:fl M^-
rin
Text:
a
WATER HEATER REPLACEMENT
U
-
tn
hul l
L
l •1
l ef.
a(
1
I
-
.
ZBA
Case No.
BBA Case No.
'
Permit No. ""• _
(, �)91331
Permit Date'"
NOVEMBER 19 1991
DEPARTMENT
STATUS
DATE
•
•
OTC PER
IT ISS
Electrical
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 the
Mechanical
" requirements contained herein, and 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 information.
Plumbing
Signature
Date
'
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD