HomeMy WebLinkAbout2943 Brookwood Dr - Permits/Reroof - 09/15/1986City 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
gqpen.
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Name z tro•.Lxc' uoi,-iA eL
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Mail Address G" ._;;; ei 'c (?C7±iCt r'r S_iz
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Name i- r, tAir Yf, YU(:%_i�¢'�
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Address
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License No.
Phone
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Lot
Block
Filing Number
2
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Subdivision
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PUD
Parcel If
DESCRIPTION OFWORK
i� l_t1A� ��r� _•� 1
Stock Options
Plan No Codes
Est. Total Cost}
(inclu ing labor, material, profit)
IIhereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
or6inances and state laws regulating building construction.
�. signed date
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ E3 ❑ Cl ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone f
Use of Building(<'
Floor Area ✓Z
Hei4ht f
No. Stories ! ,
I,& Area ,
Frontag .
Occ. load �'Oc
. Change�•trom r'�.�
Pit File No.
No.,6.U. r
Garage area 1 t
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation .,��..i FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Overslzing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Tota) Fees � _-_....�
i
D WAtion: Original - Apph..m Blue-�Ofticej Canary - 5ai ,Tar: Pmk - Apphcam Tag''&dg Insp 4__
7
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
I`DMTS 20. 79
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ZBA Case p Date
SBA Case# R Date
Building Insp. I /�dateovai
by ! l
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<�Pe`rmit No.
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