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HomeMy WebLinkAbout4307 BLACK HAWK CIR - PERMITS - 11/8/2000Community Planning & Environmental Services Building & Inspections Division P.O. Box 580 281 N. College Ave. Fort Collins, CO 80522-0580 cf ofFod our" phone (970) 221-6760 Fax (970) 224-6134 JOB SITE ADDRESS 4307 BLACK HAWK CT BUILDING PERMIT PERMIT FEES F -1Building Valuation $ ep 500.00 80016414 G� PERMIT TYPE PERMIT LEVEL BSMNT Basement Finish-Resldendal Last Name, First, Middle Initial C MONTOY& RICHARD D, JR Z Address City / State 3 4307 SLACK HAWK CR I FORT COLLINS, CO 0 Zip WM Phone No.1I7 -011111111110 Front Setback Rear Setback 0 Z Right Side Setback Left Side Setback O ry Plat File No. ZBA Case Number Zoning District 13 J Subdivision/PUD Filing Q w J Lot '3 Block Lot Area 0 ParcelNa9735327015 Mechanical License No. U Roofing License No, Z 0 Framing License No. m rn Plumbing License No. BASEMENT FINISH WITH ON E STUDY AND 314 BATH ACCOUNT FEE DATE PAD FTCO PERMITDATE t' BI Wr*tft TeX ` MWA I" Tax $51.96 iPAW $10.00 1/0&2= 1101111 E 1/0&2= CATEGORY TYPE py�TAI Construction Type Occupancy Group w p No. of Stories Building Height Building Square Footage Stock Plan/Options REOUIRED INSPECTIONS CALL • •• TO SCHEDULE INSPECTIONS (See reverse si a or Inspection Description) RP RM oL IN FNB FNE FNP FNNM SPI LIOP FIR FP RE 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 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 or incomplete information. This permit shall become null and void if the work authorized by such permit is not commenced, suspended, abandoned or not inspected within 1 0 days from the date of such permit or from the date of the last inspection. I A +C�Q �'VIG•1TO J rL[ffI � tX�-�—' P int name of owner/agent gnature Date I TOTAL FEES