HomeMy WebLinkAbout4307 BLACK HAWK CIR - PERMITS - 7/31/1987 (2)�- :� � s=.-q .:'s. �.i M..n.2.:. F... S�ia �+-. ' � "-• --�• >`... �...,1. �-..:-ram. -�._1 �ti' ..., .x;. _.. _ h �. ,..vim..'")' _n _ . _ ----
.ty of Fort Collint; 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
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Mail Address
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Phone';( Jt+uv
Name
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Address 7,,.
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License No. ! Phonej `���•` tf
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Lot / u' Block - /tV F(ling Number
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Subdivision !A; 1 L, �V
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PUD. -'
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Parcel If �. Y7
DESCRIPTION OF WORK
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Stock Options
Plan No.
Cocjs
i. Total Cost r t
itcluding labor. material, profit)
I hereby acknowledge that I have read this application and
sate that the above is correct and agree to comply with all city
ordin'a'cesand state laws regulating building construction.
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_— CLASS OF WORK —
Ne❑w ,,,'Alteration Addition Demolish Move
Plbg. Mach. ElaC Struct. Fire Prot.
❑.. ❑ . ❑?� ' ❑ i ❑
Occ. Grp Type_Cinst. f%� Use Zone
Use of Building,.
.Floor Area
Height „z
No. Stories
�t Area `
Frontage 004 /
Occ. load _.
Occ. Change from
Plat File No.
No. D.U.
Garage area ;!,a
�y�
Fin. Bsmt. area c fi
Type heat - —/,- I
No. Fireplaces or.stuves-«
— RELEASES — Dates
Zoning
Engineering.
Fire Department
Electric Department . .
Water & Sewer
Plan Review
Special Conditions:
_�
Valuation f FEES
Plan Check
Permit
—
Tax
izing
l
nt Investment
=Drainage
_nt Investment
inagenderground
<
-Total Fe6q
Off -Street Parking
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_,
(No. C 'sja
Interior Lot
Corner Lot ❑
Reversed Corner Lot ❑
� to
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Y
`m
d
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R�V
C'RMTS 4Sa'.'fii
0-2199. 2-;'00PE 625.00
JUL-17'87 TAXPM 936.49
STOVR 598.00
VOEKC 281.00
TOTL 2899.49
CHC; 289'
N22317 15:55 A
0 7UL.31'87
a
ZBA Case tt Date
BEA Case # Date
Building Insp.
pproval
by
dat
Permit No.
j.449
0,1,bw,.o Original - Applica r lue Olfic Canary Jales Ta'r'.T,,n N•bppl a�i 1;'7eg I�g; Insp.