HomeMy WebLinkAbout4524 Maxwell Dr - Permits - 12/06/1999 (3)DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
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221-6760
REAR
BUILDING PERMIT
C1ty Df Fort Cullin<
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JOB
SITE ADDRESS
LEFT RIGHT
Permit
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Pro dust, �. +(�r Use
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Subdivision PUD Filing
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Subdi L6ion(PUD
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Building Valuation
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FRONT
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Lot _
Block
Parcel No,
ACCOUNT
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FEE
DATE PAID
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First
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Plan Check
Lot Area
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Bldg. Permit
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AtldreSs
City
Plat File No. _
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City Stales Tax
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zip 5G525
Phone No.
at St Parking
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Street Oversizing
Water Plant Investment Fee
Sewe5 Plant Fee
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Cprnpany Nit a F,
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Contractor license No.
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Electric Underground
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Water Rights
CALL 221-6769
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Trunkline
TO SCHEDULE INSPECTIONS
misc. j
(See reverse side for
zip.I)JE
Phone `23__i+'iE
Sales Tax No.
Inspection Description)
Construction Type
CeGroup
Fire Sprinkler
Spappy
Building SouareFootage
LC77VV
N.-of Stories
C
Bldg. Height
( TOTAL FEES
--
"I
Y
Load
OccPaaty Se pa alon
Area Sepation
Fins ContainmentOccupan
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3
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement t S 6
Stock Plan
Options
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O Text:
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ZBA Case No. BBA Case No.
Permit No Per tData
_ _98039i526 DEPARTMENT STATUS DATE
Electrical
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Zoning
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As a condition for the issuance of a permit, I hereby declare that I am
Engineering
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an owner or the owner's agent, authorized to perform the proposed
Water & Sewer
Light&Power
DSo=`
bn,
work on the property described herein. I agree to comply with all the
P P Y 9 P V
Street Oversizing
cS_
Mechanical
requirements contained herein, and City ordinances, and State laws
Storm Drainage
associated with such work. I understand that such permit may be
Plan Check
revoked in the event that issuance was based on incorrect information.
Pdudre Fine Authority
Plumbing
Larimer County Health
9' ,I
Sgnature
Date gq
City of Fort CollinS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address � t((�(uf
Name n 5 01
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Mail Address
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Phone
Name ig
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Address
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License No.
Phone
Contractor Sales Tax No.
°
Lot
Block
Filing Number
WSubdivision
PUD
m
Parcel #
DESCRIPTION OF WORK
Uj
Stock Options
Plan No. COoc1f=5
Est. Total Cost l/l�
(including labor, material, profit)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
tie date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach, Elec. Struct. Fire Prot.
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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I2
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Street
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ZBA Case if
Date
BBA Case #
Date
Building Insp. Approval
by date
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/(71
1 I
Permit No.
Date
Distribution- O iglnal - Applicant Blue - Office: canary - Sales Tax..Pink -Applicant. Tag -Bldg. In Sp