HomeMy WebLinkAbout6227 GOLDEN WILLOW DR - PERMITS - 10/5/2005imCommunity Planning &Environmental Services BUILDING PERMITPERMIT FEES ME
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Budding valuation
Fort Collins, CO 80522-0580 $ 770.00
CityofFort Collins phone (970) 221-6760 Fax (970) 224-6134 B0505826
JOB SITE ADDRESS 6227 GOLDEN WILLOW DR
PERMIT TYPE PERMIT
MECH Mechanical Alteration
Last Name, First, Middle Initial
ad SAMPSON, MARCIA
3 Z Address
6227 GOLDEN WILLOW DR City/State FORT COLLINS, CO
O Zip 80528 1
Phone No.
282-0351
ACCOUNT FEE DATE PAV
PERMIT DATE
10/05/2005 Building Permit w/o Subs Z15.0 10/5/05
.EVEL CATEGORY TYPE
ISSU_FUL Residential
Construction Type Occupancy Group
w No. of Stories Building Height
O
V
Building Square Footage I Stock Plan/Options
0
Z Right Side Setback Left Side Setback
Z
0 Plat File No. ZBA Case Number Zoning District
184
Q Subdivision/PLID Filing
w Lot 184 Block Lot Area 0 Parcel No. 8607431184
SZ Comoanv Name I
Address
License No.
ce
Mechanical
License No.
NORTH. COLORADO AIR
H 837
0
H
Roofing
License No.
ZZ
Framing
License No.
V
Plumbing
License No.
Concrete
License No.
ADD AIR CONDITIONING - PREWIRED AT CONSTRUCTION
8
)See reverse side for Inspection Description)
CL FMM
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
I rA