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HomeMy WebLinkAbout2818 Bluegrass Dr - Permits/Single Family New - 08/02/1985ty of Fart 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 2ps1 UL ��. QC tx'�!- Name LELu LAIJ c Mail Address-4 ( CC) A4 (2 IRA V— G•- 7 3 Phone .- 9 0z) o Name l � Address r 0 0 U License No. � , Phone ° a Lot '�.J Block .C�. Filing Jumbert7 Subdivision -Pt 1J f"nr�--AA PLO ci'7217) Z `? C) 9�s I DESCRIPTION OF WORK 14,0 A)e , Q c w Ati I o 1 I Stock .d L/ Options Plan 0. I Codes Est. total Cost (incl ding labor, material, profit fy hereby ackn� 441e �e that I have read this application and statelthat the aboqve is orrect and agree to comply with all city ordin nee a d(stat laws regulating building' construction. . ; s_06 r-� d te., — CLASS OF WORK — Nhw' Alteration Addition Demolish Move 13�11 ❑ ❑ ❑ ❑ Plbg..- Mach: E(ec.. Struct. Fire Prot. ❑r E` ElOee. �/ Gr. C, - �t Type const..in Use Zone Use of Building ,0if f5'I,M I L-Y Floor Area Height No. Stories Lot Area w2-5- Frontage Occ. load Occ. Change from Plat File No j -,2,�j No. D.U. f Garage area j Fin. Bsmt. area Type heat, No. Fireplaces or stoves — RELEASES — Dates { Zoning .% -f� Il?ir-2'til'jJ Engineering Fire Department Electric Department Water & Sewer Plan Review Special Conditions: Valuation FEES Plan Check".J;" L.�'t .:..W Permit Parkland City Sales Tax St. Oversizing Water Plant Investment' Sewer Plant Investment Storm Drainage 1 - _ Electric Underground ✓ '."�� :-' Total Fees •, Onarvanti'7 Original -Applicant: Sloe=Oa BiE S+Ggrjar�-'$ Tax; Pmk-Wpplichm Ag\9ltlgclnsp'.\ �\ `- '` %rt Off -Street Parking (No. Cars) Interior Lot Al Corner Lot ❑ Reversed Corner Lot ❑ ` (� i� P'fiMTS PkFFF TAXPM 5 'a:t .. , t T DVR ?4C7) t t V_GHC ?'29.00 —} TOTL v > Y AUG.02 M E 0 L-4 " `- Street , P( `t;,i: Ill ntt T 1i': L !i7 1,10 0 rr�rtt a alr2�UE' 7_%40 :A ZBA Case # Date SBACase# 9 Date Building Insp. pproval LtA by date Per it .r. 7 Date