HomeMy WebLinkAbout3924 Benthaven St - Permits/Sprinkler - 03/13/1987Cgty`' ®f" Fort Collins
APPLICATION FOR BUILDING PERMIT
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name
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Mail Address
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Phone
Name
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wAddress
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License No.
Phone
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Lot
Block
Filing Number
Subdivision
PUD i
Parcel #
DESCRIPTION OF WORK
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2
Stock Options
Plan No. Codes
Est. Total Cos 00
including labor, material, profit)
on and
above is correct and aall city
nd t law egu atuction.
acknowledge that I hatri
9sign
BUILDING INSPECTION DIVISION
AND CERTIFICATE OF OCCUPANCY
— CLASS OF WORK —
N Alt r tPon
jr
Addition Demolish
❑ ❑
Move
❑
Plb Mach.
9❑
Elec. Struct.
❑
Fire Prot.
❑
Occ. Gr.
Type Const.
s ne
Use of Building
Floor Area
eight
No. Stories
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ea
Occ. load
a e o
Plat File
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
L` D, jnt,ution: Original - Applicant Blue - Ottice; nary - Sales Tax' Pink - Applicant, Tag - Bldg. Insp,
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
a
m
m
( 1
c
0
"V LL
Street
PRMTS 15.00
TOTL 15.00
CHCK 1
N98006
07:59 A
MAR.13'87
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0
ZBA
Case #
Date
BBA
Case #
Date
Building Insp.
Approval
by
date
(r�j/�j�/J
/
Permit No.
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