HomeMy WebLinkAbout3015 Camelot Dr - Permits/Reroof - 09/11/1986ty 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 .tf 15:.....
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Mail Address
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Phone
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Name Tali
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Address
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License No. jy� /t% PhoneZ?.<" - 4t,�
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,Lot
Block
Filing Number
'Subdivision
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PUD
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Parcel It i
DESCRIPTION OF WORK
i!
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.
(� signed
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Pibg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const. Use Zone
Use of Building ,el
Floor Area
Height
No. Stories
Lot Area
Frontage
Dec. 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
Parkland
Gity Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
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PernUC"o <:-
Date
Drtr,butbn' 068lnaf -.Applicant: B1uE - O del Canary - Salns Tat Amk -Applicant, Tag - Bldg_ Insp f
{ City -,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 Al, el
m
c
Mail Address -
3
O
Phone
Name
0
Address S0
c
U
License No. �.
Phone S
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a
Lot
Block Filing Number
Subdivision
PUD
m
�
Parcel #
DESCRIPTION OF WORK
r r
f
xr
( f
i
1
i
V
Stock! Options
Plan No. Codes
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 an^���jjjsta e la s gul ng building construction.
'r�`
signed date
— CLASS OF WORK —
New AlterationAddition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Dec. 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 f f_`i CD FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
-Storm Drainage
Electric Underground
Total Fees ��j
CL
Off -Street Parking
I
(No. Cars)
Interior Lot
Cl
Corner Lot
❑ 'I
Reversed Corner Lot
❑
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i
1
> I
I�
c
_V
l I
to
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LL
Street
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m
ZBA Case #
Date
BBACase#
Date
Building Insp. Approval
by date
Permit No. -
Date
I
Original - A,phcanr. SWe - Office; Canary - Shces.Tax. Pmk - Appk anf: Ti, - 61dg. Insp.