HomeMy WebLinkAbout1749 Fremont Ct - Permits/Addition or Alteration - 12/30/1999City 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 -7 Qti^r
Name
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Name
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Address
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License No.
Phone
Contractor Sales Tax No.
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Lot
Block
Filing Number
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Subdivision
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PUD
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Parcel #
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, fuilding construction.
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signed date
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elea Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Height
Lot Area
Frontage
Occ. Change from
=areaFin.
.
No. D.U.
a
Fin. Bsmt. areallo.
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
p
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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Date
BBA Case #
Date
by ilding Insp. I I Approval
++ date
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Permit No.
Date
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DistobunOn: Original - Applicant: Blue - Office, Canary - Sales Tax:.Pirk - Applicant: Tag - Bldg, Ins,
Community Planning & Environmental Services
Building Permits &Inspections Division
P.O. Box 580
Gtv°r F� u� Fort Collins, CO 80522-0580
JOB SITE ADDRESS 1749 FREMONT CT
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Subdivision PUD Filing
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� Subdivision/PUD &
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Lot 61ack Porcel No.
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FREMONT CT
80526
NACE CO.
SMOKEY ST.
ALL GAS INSERT
TOM
COLLINS
FT COLLINS
226-3619
SETBACKS
UILDING PERMIT REAR
221-6769
LEFT
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Y'FIULE FAMILY DETACHEO
Pe°nit,lgvrl L/FINAL
PERMIT FEES
Rdi°R v°I°°r°° i UL 2181 FROM
096400Y P..i'DWOVEMBER 1, 1996
,DEPkRTMENP` DATE
OTC PERMIT 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 ------ - — �-- -<- ---�
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 and void if
the work authorized by such permit is not commenced, suspended, abandoned, or not } t
inspected within 180 days from the date of such permit.
metre Date',',
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Desc
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