HomeMy WebLinkAbout1109 Lynnwood Dr - Permits/Reroof - 08/22/1986City 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
Name S t 5 ; „
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Mail Address
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Phone (f^'t'3 ..�5 , t=
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Name
Address
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License No.
Phone
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Lot
Block Filing Number
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Subdivision
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PUD
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Parcel fk � G, - �-�
DESCRIPTION OF WORKjr
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Stock Options
Plan No Codes
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Est. Total Cos[ _�
(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 building construction.
`'- signed dater ,
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— CLASS OF WORK —
New Alt r ti A ition Demolish Move
❑ ❑ ❑ ❑
Plbg. Meffi. Elea Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Cons!.
Uone
Use of Building +
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Floor Area
Height: , : t
No. Stories
Lot Area
5rontage�/'
Occ. load ,%
Oca Change from -/
Plat File No. 1 tNot
D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
r .
Valuation till-, FEES
Plan Check
Permit.4
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees \
Oistribu6on: Original - Applicant, Blue_- O(Gce: Canary -Sales Tax: Pick - Applicanf. Tag'- Bldg Insp. \
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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ZBA Case #
Date
BBACaseff (
Date
Building Insp. -Approval
�-
by date
Permit No. —'�<
Date