HomeMy WebLinkAbout2613 Belgian Ct - Permits/Addition or Alteration - 04/10/1984of --Fort CollinS' BUILDING INSPECTION IDIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address ..
Name
Mail Address
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Phone
Name
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Address L'
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License No.---
Phone
Lot
Block
Filing Number
N
Subdivision
PUD
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DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost 45
(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
date,, r
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ L} ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. 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:
Valuation F FEES
Plan Check
Permit
Parkland
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 ❑
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Street
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3ZBA Case #
Date
BBA Case #
Date
Building Insp. -._ Approval
by
date
3J. g
10
Permit No.
Date
Distribution, Original Blue - Office:'Canary - Sales -Tax. Pink Applicant: Tag Bldg"+Rsp. - --