HomeMy WebLinkAbout1616 Leesdale Ct - Permits/Mechanical - 12/30/1999SETBACKS
�a Community Planning & Environmental Services BUILDING PERMIT
REAR
Building Permits & Inspections Division
P.O. Box 580 221-6769
Citvof Fort Collins Fort Collins, CO 80522-0580
LEFT RIGHT
JOB SITE ADDRESS
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Permit Type
work Type Category TYPE
5
MECHANICAL
ALTERATION SINGLE FAMILY DETACHED
WProposed
Use Zone Permit Leval
Use
RESIDENTIAL
FULL FINAL
FROM
Subdivision PUD
FilingPERMIT
FEES
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Building Valuation
�SubdivWon/PUD
1273
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Lot
Block
Partel No,
ACCOUNT
¢
, e FEE
=DATE
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Last
NELSON
First
MAX
M.I.
BLDG PERMIT FLAT
15.00
9800116
Lot Area
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CITY SALES tlr?E TA
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Plot File No.
Address City
3
10916 W. 77TH AVE ARVADA
CQUNTY aALES TAXs,__
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' 980116
0
Sf a ZiP Phone No.
Off St. parking
G�0 80005 303-425-4259
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as
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Compan
NOpm Na.RN COLO AIR
Contractor License No.
H-837
Add, sx city state
1823 E HARMONY RD FT COLLINS CO
CALL 221-6769
TO SCHEDULE INSPECTIONS
O
zi phone Sales Tax No.
�0525
+ _
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(See reverse side for Inspection Description)
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223-8873 26862
Construction Type
Occupanry Group
Fire Sprinkler
Fire➢loos/Stoves
Building Square Footage
0
Basement Square Footage
No. of Stories
Building Height
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SPI
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Ouupanry Load
Occupancy Separation
Area SepaMion
Fire Containment
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3
No. of0 welling Units
No. of Bedrooms
No. of Bathrooms
Stock Plan/9ptions
,jQ,jAL FEE$�0
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TPEPLACE FURNACE
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ZBA Case No.
BRB Case No.
1
1
0980177
PemaD03ANUARY 16, 1998
DEPARTMENT
STATUS
DATE
+ '' •
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Elenrical
N/A
OTC PERM
ET ISS
As a condition for the issuance of a permit, I hereby declare that I am an owner or the
owner's agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State�aAal
/
laws associated with such work I understand that such permit may be revoked in the event
that issuance was based on incorrect information. This permit shall become null andvoid it
-
,-
plvm6ing
the work authorized by such permit is not commenced, suspended, abandoned, or not
°r
N/A
inspected within 180 days from the date of such permit.
° ° - - — -- -
'- - `-
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Roofing
N/A
' Signature Date
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Clty of Fort Co Tins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly us i ball point pen.
Job Address
'fe
Name
Mail Address
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f :(r. x•"'`' �,,.. (�c" ii'�r-mot .f a. ru ' -'M1- Y
Phone A �`E .a /
orf
Name
ro
Address
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License No.� /�Y��
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Phone ��rl ✓��f%
a
Lot
Block
Filing Number
N
N
Subdivision
o
PUD
J
DESCRIPTION OF WORK
Stock Options
Plan No. 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.
signed - _`date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plba. Mech. Elec. Struct. Fire Prot.
f� ❑ ❑ ❑ ❑
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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0
Street
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ca
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval ,
by
date
/07- 7
44;As
Permit No.k
Date
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Distribution: Original - Applicant; Blue - Office; Canary - Sales Tax; Pink - Applicant: Tag - Bldg. Insp.