HomeMy WebLinkAbout4926 NORTHERN LIGHTS DR - PERMITS - 7/13/2005Community 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 4926 NORTHERN LIGHTS DR
PERMIT TYPE PERMIT
POOL-C Swimming Pool Comm.
Last Name, First, Middle Initial
W
l.r1A I CAU
Z
Address City
3
12050 PECOS ST
U
Zip Phone No.
80234
Front Setback Rear Seft
0
_Z
Right Side Setback Left Side S
Z
2
Plat File No. ZBA Case Number
1322-2
Subdivision/PUD
Q
BROOKFIELD
W
Lot
Block
Lot Area
TR D
cll�
Company Name
CnntraMn
City/State
Phone
Omechanical
License No.
Roofing
H
License No.
Z
Framing
License No.
U
�
Plumbing
License No.
V)
�
oli
Concrete
License No.
8
WESTMINSTER, CO
303-280-9630
ick
Zoning District
TR D
Filing
Parcel No.
0 8604110004
BUILDING PERMIT
PERMIT
FEES
Building Valuation
B0501735
$80 028.00
ACCOUNT '
FEE
DATE PAID
PERMIT DATE
07/ 13/2005
Plan Check Fee
Building Pemit v/ Subs
City Sales/Use Tax
County Sales/Use Tax
$244.40
$507.60
$1,200.42
320.11
4/18/05
7/13/05
7/13/05
7/13/05
EVEL
ISSU_FLIL
CATEGORY TYPE
Swimming Plod -Commer
w
Construction Type
Occupancy Group
0
No. of Stories
Building Height
Building Square Footage
Stock Plan/Options
(See reverse side for Inspection Description)
SBF
RP
RM
FNB
FNE
FNP
FNM
FD
SWI
SWI
UCP
RE
CONCRETE NEIGHBORHOOD SWIMMING POOL ONLY. BARRIER AND GATE PROVIDED BY PERMIT
B0407463.
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.
Print name of owner/agent Signature Date
FEES 1 $2.272.