HomeMy WebLinkAbout913 BENSON LN - PERMITS - 10/9/2002Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580 g��1$1'�
City of Fort Collins
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phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS 913 BENSON LN
PERMIT DATE 10/09/2002
Plan Check Fee
Building Perwi.t
City Sales/Use
$15.0
a 4124.8
a $180. 0
10/3/02
10/9/02
10/9/02
PERMITTYPE BSMNT Basement Finish -Residential
PERMIT LEVEL ISSU_FUL
CATEGORY TYPE RESIDENTIAL
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Construction Type 5N
Occupancy Group R3
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(, amty Sales/Use
048.00
10/9/02
Addr9f3 BENSON LN
City/StateFOR. COLLINS, CO
LU
a No. of Stories
Building Height
Zip 8M25
Phone No. 207-1514
V Building Square Footage
I Stock Plan/Options
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Right Side Setback Left Side Setback
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Plat File No. ZBA Case Number Zoning District
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Subdivision/PUD
Filing
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Lot
Block
Lot Area 0
Parcel Nc9613116084
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Name
Contractor License IN
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City/State
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Phone I Suoervisor Cert. No.
" B-& B DUNHAM ELECTRIC, LW
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N PIu r OR PLUMING & HEATING
STORAGE ROOM
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AFFFIDAVIT ON FILE
-- ME-789
License No. H-1309
License No.
License No.
License No. MP-387
(See reverse side for Inspection Description)
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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
:Commend, suspended, abandoned or inspected within 180 days from the uch permit or f;) rom the date of the last inspection.
Pr' t name of owner/agent Sig ture Date TOTAL FEES