HomeMy WebLinkAbout1102 Laporte Ave - Permits/Addition or Alteration - 04/23/1990DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80622-0580
6' 221-6769
REAR
tt, o �t o BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
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Permit Type
Work Type Category Type
UILDING
LTERA I NDETACHED
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Proposed Use
Use Zone Permit Level
a
ESIDENTIAL
Subdivision PUD D ng
Q
Subdivls 1PUD
Building Valuation
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200
FRONT
J
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Last First M.I.
Lot Area
RUNSWIG SAM O
BLDG PERMIT WITH
10.00
z
Adareaa coy
CITY SALES USE TA
2.75
plat File No.
FT COLLINS
Off St Parking
O
State Zip Phone No.
CO8 524 464-
¢
company Name contractor License No.
REQUIRED INSPECTIONS
H
s
Address City State
CALL 221-6769
TO SCHEDULE INSPECTIONS
Z
o
zip Phone Sales Tax No.
(See reverse side for
Inspection Description)
Construction Type Occupancy Group I Fire Sprinkler
Building Square Footage
No. of Stories
Bltlg. Heght
TOTAL FEES
12.75
FR
FN8
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
3
u_
No. of Dwelling Units
No. of Betlrooms
Fireplace/Stoves
Basement
Stock Plan
Options
O
2
O
Text'
a-
ADD PARTITION FOR A BEDROOM
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en
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Y f L t L
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ZBA Case No, BBA Case No.
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Permit N'0900530 �bi'tEg t�. 23, 1990
DEPARTMENT
STATUS
DATEOTC
• • '
PERM
l' 15S
Electrical �•---+�-
As a condition for the issuance of a permit, I hereby declare that I am
NEV6Er,
2� 174 A
an owner or the owner's agent, authorized to perform the proposed
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work on the property described herein. I agree to comply with all the
requirements contained herein, and City ordinances, and State laws
Mechanical
associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information.
Plumbing
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Signature n _ Da'a, n ? �'Y+f
RIGINAL - FILE. BLUE - OFFICE. CANARY - SALESTAX, PINK - AIVPUCANT TAG - FIELD CARD