HomeMy WebLinkAbout2625 Blackstone Ct - Permits/Single Family New - 12/23/1993DEVELOPMENT SERVICES/B DING PERMITS & INSPECTIONS DIVISION
SITE SETBACKSP.O.
BOX 580, FORT COLLINS, CO 80522-0580221-6769REARty
&FOrtCoHm,
BUILDING" PERMIT
15
4" b' "
LEFT IGHT
JOB SITE ADDRESS
F
Permit Type
Work Type Categpry Type
WProposed
Use
Use Zone Permit Level
RTNGLE FAMILY DWELLING
rl —FULL/FINAL
Subdivision PUD
Filing
PERMIT FEES
Qsubdivision/PJD
BuddingValuatbn
26'6"
2
STONE RIDGE PUD
1i0000
FRONT
J
Lot
Block
Parcel No.
8729 _ _ 0341
� ACCOUNT
FEE
DATE PAID
Last
First
M 1.
Lot Area.
PLAN CHECK FEE
297.70
931006
9567
Address
city
Pat Fie No.
21—
W
8L0G "PERMIT WITH
618.80
PARKLAND.FEE
779.04
state
Zip
Phona No.
oe St Pzrkmg
o
CITY SALES USE TA
1650.00
—
STREET OVERSIZING
STORM DRAINAGE - -
564.00_
1035.95
"
Company Name
Contractor License No.
REQUIRED INSPECTIONS
SENEVA
C2-37
ELECTRIC UNDERGRO
354.00
WATER PIF
2696.08
CALL 2217nT
Address
City
state
ST
LOVELAND
I CO,",
SEWER PIF
1600.00
TO SCHEDULE INSPECTIONS
o
WATER PIF/YOK CRE
"." _
—35.00
"_. _ _
(See reverse side for
zip
Phone
Sales Tax No
V
_ _
_ _ "_ _
_ _
Inspection Description)
Consvuction Type
Occupancy Group
Fire Sprinkler
V—N
R-3
S8F
WTR
FD
SWR
UGP
SBF
Building Square Footage
No. of Stories
1
Bldg. Height
TOTAL FEES
9580.03
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
GL
RM
RP
FR
RE
FP
LL
No. of Dwelling Units No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
1 7
3
1866
FNP
FNM
SPI
o
E
Text
NEtW SFR
FULL FINISHED BASEMENT
w
0
I
ZBA Case No. I RBA Case W.
,
Permit No. - 1 Permit Date
0932969 DECEMBER 23 1993
DEPARTMENT
STATUS
DATE
O •
Electrical
As a condition for the issuance of a permit, I hereby declare that I am an owner
ENGINEERING
PASSED
931007
JACK'S ELECTRIC
or the owner's agent, authorized to perform the proposed work on the propertyPASSED
_ _ _
WATER & SEWER
—
931025
,
described herein. I agree to comply with all the requirements contained herein,
LIGHT & POWER.
PASSED
931612
and City ordinances, and State laws associated with such work., understand that
STREET OVERSIZE
PASSED
931013
Mechanical
such permit may be revoked in the event that issuance was based incorrect
PLAN
PASSED
931013
OC FURNACE CO.
information. This permit shall become null and void if the work authorized by
t
_CHECK -- --- -
_
,
,LOCAL
such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date Rf such permit.
""" '-" -
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Plumbing
PLUMBING SERVICES, I
C
— - -
---, _....
_ . _-__ _
Signa[ `�
; �.
Cat.-
ORIGINAL-HLE, BLUE - OFFICE, CANARY-- SALESTAX, PINK - APPLICANT, TAG - FIELD CARD