HomeMy WebLinkAbout4213 HUMMINGBIRD DR - PERMITS - 11/3/2005imCommunity 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 4213 HUMMINGBIRD DR
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MEGH Mechanical Alteration ISSU_FUL Residanti
Last Name, First, Middle Initial
Ce OBRIEN, JOSEPH J/PHYLLIS N
LLJ Address City/State
1538 BON HOMME RICHARD DR FORT COLLINS, CO
O Zip 80526 Phone No. 223-9512
Front Setback Rear Setback
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Z Right Side Setback Left Side Setback
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RPlat File No. ZBA Case Number Zoning District 164
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164 I Block I Lot Area
REPLACE FURNACE
BUILDING PERMIT PERMIT FEES
Building Valuation
B0506547 $1 572.00
ACCOUNT FEE DATE PAID
PERMIT DATE
1 1/03/2005 Building Permit w/o Subs $15. 0 11/3/0�
Filing
0 Parcel No. 9735415032
Contractor License No.
City/State
License No.
License No.
H 835
License No.
License No.
License No.
License No
Construction Type Occupancy Group
p No. of Stories Building Height
OBuilding Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
CL FNM
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 TOTAL FEES$16-90