HomeMy WebLinkAbout1842 Overlook Dr - Permits - 04/12/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
Cityo fort o ins BUILDING PERMIT
76
B
LEFT RIGHT
JOB SITE ADDRESS
PerKUt4UINU
7xwe Cate Fullity DtftclLhed
20
a
Pr
waspPer t
Subdivision PUD
Filing
J
<
Su U
Building Valuation
w
FRONT
Lot
Block
Parcel — —
11
ACCOUNT
FEE
DAIS PAID
La
First
M.I.
BLDG PERMIT WITH
406.35
Lot Area
z
PARKLAND FEE
625.00
AdLLEVtLHNU
cty UVhLANU
Plat File No
3
CITY SALES USE TA
836.25
0
STREET DVERSIZING
584.00
state
zip a
PhoneN —
otfst.Parking
STORM DRAINAGE
ELECTRIC UNDERGRO
639.74
354.00
Company Name
Contractor hcense No.
REOUIRED INSPECTIONS
WATER PIF
2511.28
SEWER PIF
1600.00
CALL221-6769
Address
City
State
TO SCHEDULE INSPECTIONS
Zip
Phone
Sales Tax No.
�z
(See reverse side for
Inspection Description)
(Construction Type
Occupancy Group
Fire Sprinkler
S�
WTR
SWR
RP
Fir
SWR
UGP
RE
UGP-
WTR
GL
RM
Building Sqa-zallige
No. ALStories
Bldg. Height
TOTAL FEES
I •
¢ Occupant Load
a
Occupancy Separation
Area Separation
Fire Containment
FR
FNB
FNM
FP
FNE
SPI
EG
FNP
N� O DwelNo. of drooms
No. athrooms
Fireplace/Stoves
Basement
Stock Plan Options
o
Te
a'
STOCK PLAN
a.
OPTION A
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O
ZBA Case No.
BBA Case No
1993
Permit No. - "'(�
Perm a ,
ZONPROkRTMENT
ST,MSED'
iiQ'ENGINEERING
•
•
As a condition for the issuance of a permit, I hereby declare that I am an owner
WATER & SEWER
IFMQ��Id
PASSED
921006
Electrica
or the owner's agent, authorized to perform the proposed work on the property
LIGHT & POWER
PASSED
921005
described herein. I agree to comply with all the requirements contained herein,
STREET OVERSIZE
PASSED
92.1006
and City ordinances, and State laws associated with such work.I understand that
PLAN CHECK
PASSED
921106m,,949PONHEATING
" AIR
such permit may be revoked in the event that issuance was based on incorrect
information. This permit shall become null and void if the work authorized by
such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
Plum i
Signature
Dat ( L— Z
—� 7 7
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