HomeMy WebLinkAbout6127 POLARIS DR - PERMITS - 6/21/2010Frt of
Site Address 6127 POLARIS DR
Job Valuation $4,080 00 Category Residenbal
Owner VALASEK GARY J
6127 POLARIS DR
FORT COLLINS CO 80525 4064
Zoning Front setback
Rear setback
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 8o522
97o 221 676o 970 224 6134 fax
Budding Permit# B1003818
Issued Full 06/21/2010
Permit Type
Phone 970 219 4090
Right setback
Minor Amend # Plat File # ZBA Case #
Zoning district RL LOW DENSITY RESIDENTIAL DISTRICT
Legal Subdivision/PUD
Code Res sq ft
# of stories
Fire Sprklr
Residential Mechanical
Left setback
Filing # Lot # Block #
Ind sq ft Basement sq ft
Const Type
Stock plan options
Contractor ALLEN PLUMBING`BrHEATING License # H-871 Supervisor cert #
101 S LINK AVE PO BOX 567
FORT COLLINS CO L80522 Phone 970 484 4841
Subcontractor(sK--� CW
Phone
Electrical ALBIN ELECTRIC LLC 970-493-8628
)
Com sq ft
Occ Group
Stock plan #
License Number
i
ME 524
II " SCHEDULE INSPECTIONS ' By Phone 221-6769 '*' By Web http //aaweb fcgov com/CitizenAccess" �I
Ins ections GL FNM FNP FNE
TOTAL FEES PAID AS OF 06/21/10 15 00 Payment method Trust Account
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners agent authorized to perform the proposed work on the property described herein
I agree to comply with all the 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 This permit shall become null and void if the work authorized by such permit is not commenced
suspended abandoned or rat inspected within 180 days from the date of such permrL
Signature Print Name
Form Revised May 2010
Date