HomeMy WebLinkAbout1111 Kirkwood Dr - Permits/Addition or Alteration - 12/06/1988City 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 our 0
Name
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Mail Address O
Phone
Name a
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Address .3
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License No. Phone
Contractor Sales Tax No. Ropz.-'co F'o c-_I
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Lot Block Filing Number
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Subdivision
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PUD S
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Parcel p _o O
DESCRIPTION OF WORK
?b ' Pam/ s77�T 61tZt�i? .
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 laws" gulating building construction.
ee datedate
— CLASS OF WORK —
New Alteratio Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. /'Mechem/ Ele�St ❑uct. Fire❑Prot.
Type Const.
Use Zone toilding=a
Height
es
E
Lot Area
Front ge
Occ. Change tr
o. a5 ^ 1
.U.
rea
smt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning r—
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
valuation FEES
Plan Check
00
Permit
Parkland
Z
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
❑
m
ID
m
m
I 7
f 1
m
—19
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Street
PL iMK
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PR TS
34.37
TARP"
96.25
T4TL
195.52
CPICI(
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ZBA Case#
Date
BBA Case #
Date
Build in Approval
by date
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Permit No.
Date
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Distriburcn. Onginal - Applicant! Blue - Office, Canary - Sales Tax: Pink - Applicant Tag - Bldg, Insp.