HomeMy WebLinkAbout3819 Benthaven St - Permits/Single Family New - 07/30/1986City Of Fort C011114S BUILDING INSPECTION DIVISION
;r APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address .3
Name . f i> a ! f F s-�
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Mail Address
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Phone % ?j ,y �: ,� c-
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Name
Address ✓
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License No.
Phone
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Lot Block
Filing Number
Subdivision
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PUD
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Parcel #
DESCRIPTION OF WORK
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f
Stock Options
Plan No. � a Codes
,�
Est. Total Cost
(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.
--date- \ r
CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
use of Building
FloorArea
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 /'r FEES
Plan Check
,
Permit
Parkland
City Sales Tax
,^`a
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
,Total Fees\
Oistribution: Original i'Canary - Sales Tax:Pink - Applicant', Tag eldg,l'�P i
Off -Street Parking
(No. Cars)
i
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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ADDENDUM
ZBA Case # Date
BBACase# ( Date
Building Insp. . ,, Approval
by date
/
/Now-.•
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— Permit I
_, Date
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,City+ of Fort CollinS BUILDING INSPECTION DIVISION
r APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 31K11
t 861,Dj
�`
Name 6 X. e L LJ,t !`
Mail Address,
b!V
O
Phone 4jQ2,
Name,
t
Address
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License No.
Phone
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.Q
Lot
Block_.
um
Filing Nber -
v
Subdivisions?
PUD �t},
m
�
Parcel #
DESCRIPTION OF WORK
7 [eu
Stock Options
Plan No. Codes
- • x8 ff
Est. Total Cost -
(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
ullatiingconstruction.
ordiinnances andd ssttaatee la2"�
\4
u!
— CLASS OF WORK —
Nef Alteration Addition Demolish Move
01.1 ❑ ❑ ❑ ❑
y Plbb. MCGh./ Ele_c. f Struc_ t. /Fire Prot.
Occ. Gr. 2} Type Const.
Use Zone (-10
Use.of Buddl ilrig
Floor Area 12WO
Height
No, Stories IlkLot
Area 4�,).) O
Frontage '7
Occ. load
Occ. Change from
Plat File No, U{ 0(0 / 6
No. D.U. t
Garage area, .Fin.
Bsmt. areaG�l
Type heat � -
No%Fireplaces or stoves
— RELEASES — Dates
Zoning 01� Pig 1AS _ 1 6
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review %
Special Conditions:
o
Valuation J FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
p
Sewer Plant Investment
Storm Drainage
Electric Underground
Distribution: Original �Appliceet:,Blluue4 T1C.,)Oenery��ales Tax:Pink-Appiicanl'. Tag: Bltlgllnsp.���'`)1�� V
i)
Off -Street Parking
(No. Cars) ;.
Interior Lot
D�
Corner Lot
❑
Reversed Corner Lot ❑
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31s
m
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ZBA Case IfDate
B BACtage# y r
Date
Building Insp. .��llpproval
by k -- '/_ date
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;EF'. cc FI F:JDi ViiL. L'E
-10' TOTAL. C'/1%,
00----ToTAI-- ZcIO1 i---�--[--
E;1)5E-U 30e) $/FT �' ' 7 TOTAL 2LtJ �7 -
GF1RD-F---__—_-$!FT_-_ i _, <<� w__TOTAL_-_______-----_ --
GAR.D-U $/FT TOTAL �
FLOOR-1 7r$� T- �..^`� z TOTAL_ 2-1 / � /rl'' q 2-
FLOOR-2 �� J $/FT 3 • Z TOTAL ZZ/ �l/•C.L,J
FLOOR-3 _--_$/FT_ 35 •_7 Z TOTAL_-
TOTAL $ VALUATION $ SS��-! //>• ��
SALES TAX RATE %
SALES OR USE T
BUILDING PERMIT 3
PLAN CHECK A0jUSTMENr IF ANY
ROOMS AND
Z j3✓ ni5 -
NAME OF PLANCHECX
6.M,6. -7/1-7
9,ASE-U = UNFINISHED Sm5Ei'ENT - S.HSF = FIN,ISHEO BHSEWFN?-
GAR;'-U = UNFINISHED GARDEN LEVcL GARD-F = FTNISH.ED GARCEN LEVEL
THIS FORM IS TO SE FILLED OUT I'J Dll°_ICc-E FOR EACH NEU SINIGLE
FAl!ILY DWELLING, DUPLEX, OR NFWLEY raFATED DWELLING UNIT. THE
PERiMIT COORDINATOR TATLL CHECK THE TP.P,'JLHtED FEES ON THIS SHEET AND
THE PERMIT CARD IF THEY DO NOT iiGRE REP :RN TO PLANCHECKER FOR
CORRECTION, THIN ATTACH THIS SHEET TO THE J09 CARD OR PLACE IT IN
THE ADDRESS FILE./ALA 10/7,3/95