HomeMy WebLinkAbout3100 Eastborough Dr - Permits/Addition or Alteration - 12/31/1999 (2)+1.
City of Fort Collins
BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERAUT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address f 147?
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Mail Address `~
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Phone ZZ"!> -U7�
Name INA,
Address , jcc)
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License No. 6 -
Phone LZ�L74
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Lot
Block
Filing Number
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Subdivision
PUDT �f�' L_l hl�� IL �'
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(�CA O
DESCRIPTION OF WORK
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 cons ru t^ionn
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— CLASS OF WORK —
New Alteration Add_i on Demolish Move
❑ ❑ ❑ ❑
PI❑bg. M@Fh. EIl
Stir ct. FireOrot.
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontages
Occ. load
Occ. Change from
Plat File No.
Garage area
F . Bsmt. area
Type eat v
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions: "
A
f !7 �t
Valuation FEES
Plan Check f
Permit
% f
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
T Fees—�
Off-Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
m
in
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in
0
"J LL
Street
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OAR,: y 3'26
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ZBA Case # Date
BBACase# 1 Date
Building Insp. Approval
+date
by J.,! i
Per No.
Date s
Distribution. Oriq ni a Applica t Blue_ O bJe Ca ary Sal Tax, Pmk-_ Applmant:
v 1