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HomeMy WebLinkAbout2824 Mckeag Dr - Permits/Single Family New - 04/06/1985City 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 `m c Mail Address •��r, ,, r��� Oi t: - .ten �• c.-' v Phone Name g U Address ^r. N c^ r U License No. .:�). - Phone- ;-y^ 'Contractor Sales Tax No. 9 Lot Jam- Block Filing Number n Subdivision ' PUD:, � Parcel # ;� .) �d ._.'© DESCRIPTION OF WORK W 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 wordinances and state laws regulating building construction. 'signed - - date — CLASS OF WORK — N Alteration / Addition Demolish Move El ❑ ❑ ❑ Me h. t _ Elec. Stryct. Fire Prot. Lice. Gr. ar '-ll: Type Const,-Vjg Use Zone Use of Building5l !-t ArNr,,-K W Floor Area /;" 1. . Height '7 No. Stories/J Lot Areaa�7l�✓ Frontagl� /f ,'i Occ. load Occ. Change from Plat File No. �jr 1e I No. D.U. Garage area �,,�� - Bsmt. area Type N . Fireplaces stoves 6 — RELEASES — Dates Zoning 1 Engineering Fire Department Electric Department Water & Sewer Plan Review Special Conditions: Valuation t, FEES Plan Check :1•-3�j C,t" Permit C).4 (7 Parkland L7 % �• 7''� City Sales Tax �• �. ,�7 St. Oversizing Water Plant Investment i ) Sewer Plant Investment l Storm Drainage Electric Underground ' Total Fees J Off -Street Parking r% (NoXrs) Interior Lot Corner Lot ❑ Reversed Corner Lot ❑ _T a m V/7 l m ^ m CO i m o Vv/LL y 17 Street 0 a ZBA Case # Date BBACase# Date Building Insp. / Approval by date 2g' 7�F Permit No. Date n lstribution�biyi ,al - Applicant. Blue - Office', canary - Sales Tax -Pink - Applicant. Tap - Bldg. Insp. 0