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HomeMy WebLinkAbout2828 Eagle Dr - Permits/Other - 12/31/1999II 19 City of Fort Coll BUILDING INSPECTION DIVISION APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Applicant complete this part of form only. Press firmly using ball point pen. I Job Address o2 8 'm c Name I � S fie m1 Mail Address �2U O eo 1l0 Phone 2.23— 95 Name C%t.JN -e) a U Address m c 0 License No. Phone - Contractor Sales Tax No. 2 a Lot Block Filing Number Subdivision ° m PUD v Parcel # DESCRIPTION OF WORK X f r it Stock Options Plan No. Codes 00 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 ordinances and state laws regulating building construction. 9 signed date — CLASS OF WORK — New Alteration Addition Demolish Move ❑ ❑ ❑ ❑ PI MecIn. Elec. Struct. Fire Prot. ❑ ❑ ❑ ❑ Occ. Gr. Type Const. -I 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 FEES Plan Check Permit 5 t0 Parkland City Sales Tax 2 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 ❑ > I9 `s m o n — o m m � m � 0 Street PPMTS 15.00 TAXPM 22e00 TOTL 37.00 ° CHCK 3 t423021 10-36 A > SEP,01788 ZBA Case # Date BBA Case # Date Building Insp. Approval by date 3coH a � - Permit No. Date 00 Oistraution: Original - Applicant. Blue - office. Canary - Sales Tax: Pork - Applicant. Tag - Bldg. Insp. �i city .0 ti.,,.rv'—^«�c^.�c.}�"`+�.I ns 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 p o06 a4 Phone Name 0 L" -J'� o U Address m c U License No. Phone Contractor Sales Tax No. ° n Lot Block Filing Number Z Subdivision m PUD Parcel # DESCRIPTION OF WORK !• di t! 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 ordinances and state laws regulating building construction. dat€ signed — CLASS OF WORK — New Alteration Addition Demolish Move ❑ ❑ ❑ ❑ ❑ j Mach. Elec. Struct. Fire Pro❑ ❑ Type Const. - lding �'� Heigs Lot Area qara Occ. Change from o. No. D.U. Garage area Fin. Bsm Type heat No. Fireplaces or stoves — RELEASES — Dates Zoning Engineering Fire Department Electric Department Water $ Sewer Plan Review Special Conditions: Valuation FEES Plan Check Permit Parkland City Sales Tax 1Z, St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground Total F � r— ^ `� Distribution : Original - Applicant: Blue - Oflr�e: Canary - Sa elel s Tan'. Pink-Ap IcarC Tag�Bltlg. Insp. Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ I9 m I( m BE ( 1 1 ) 0 _JLL Street o f,. 7 nv ZBA Case # Date BBA Case # Date Building Insp. FF Approval by ��t� date Permit No, t Date