HomeMy WebLinkAbout2609 Lodi Ct - Permits/Single Family New - 05/29/1986' .,0'1 i."J" --0-�.•.a-,��"-L'7f Y � �r N. a �..'�-1 r � v, a �. "' ".. -w - � .. .� .v t� OS- . ' ., l r
City 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 1771U.001 OQ � Chi '1"-7)
Name
Mail Address
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Phone_---f:
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Name 1"
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Address
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License No.
Phone
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Lot
Block
Filing Number ,
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Subdivision
PUD
DESCRIPTION OF WORK
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Stock Options
Plan No. I° 9 1 Codes.-
Est. Total Cost ' 48a? I ¢ 7
(including labor, materials 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 2 ' is - date s
— CLASS OF WORK -
New Alteration Addition Demolish Move
M-St ❑ Ad i ❑ ❑
Pfbg! f Mech. -Elee' Struct. Fire Prot.
O,cO Gr. %
Typ
Zone, .
t�1`s •of Building
oorAred- `.�
Height
No. Stories
� J .
Lot ,Area/4. Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area �
Rn° Bsmt. area
Type heat :
Not Firepire I� a s`or-stoves-�"
— RELEASES — Dates
Zoning Q ,� - 1�%f
Engineering f
Fire Department
Electric Department
Water & Sewer
Plan Review-'
Special Conditions:
Valuation FEES,_
Plan Check
Permit �-
Parkland
�•
City Sales Tax
St. Oversizing
Water Plant Investment^
Sewer. Plant Investment
Storm Drainage
Electric Underground
Tctal_Fees ,1 -
Distribution: original - Applicant; Blue Office; Canary ,Sales Tax; Pink - Applicant; `Tag - Bldg_Insp.
r t:/, n_ 3
Off -Street Parking'
(NoiCCars)
Interior Lot
Corner Lot ❑
Reversed Corner Lot ❑
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ZBA Case # Date
B BA Case # j f Date
Building Insp. r Approval
'
by date
400� ?
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Perm` No. �'
Date
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