HomeMy WebLinkAbout2918 Eastborough Dr - Permits/Reroof - 12/31/1999City 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.
97,
Job Address as (R
Name _7_ y
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Mail Address —7 is 1(
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Phone 71 DIP /
Name t /"•� 1i n t rt Y
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Address ? 2 (,o L k eM
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License No.
Phone L/y j..�
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Lot Block
JIFiling Number
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Subdivision
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PUD
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DESCRIPTION OF WORK
/
Stock Options
Plan No. Codes
s f, U
Est. Total Cost
(including labor, material, profit)
1. 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���^--. i of I -
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ V/- ❑ ❑ ❑
Plbg. Mech. Elec. Struct, Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
FloorArea i .'`
ei ht
No. Stories
�.-
Ldi Area,
Frontage-.
Occ. load �,/
fOcc.• hange from
Plat File No.
Garage area /
Fir�r.'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
_
Permitf
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
�To al_Fees,_ � \
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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V
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Street
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LIEC.�1`9!i
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ZBA Case #
Date
BBA
Case#
Date
BBuitding Insp.�f L L Approval
by
Permit.N \
Date
Distribution: 0ni9inal - AFlPIIcant�B`et, Otflce, CHnary -n5\es Tan; Pinlc�.APp11c�;�Tag -Bldg. Insp.