HomeMy WebLinkAbout3101 Boone St - Permits/Single Family New - 02/11/1986City of Fort Collins BUILDING INSPECTION DIVISION
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APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
' Press firmly using ball point pen.
Job Address
Name S f t 1
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Mail Address t l '�''i .: .�a•,�_, JJ�r :. L
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Phone
Name
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Address I i (,t
License No. .-- � j cf Phone t, 4 r .5� t• -+
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Lot I L• Block ( Filing Number
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Subdivision iJ.1, .L,.i v
PUD
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DESCRIPTION OF WORK
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Stock +it1 Options :5
Plan No. Y • � Codes T1
Est. Total Cost
(including labor, material, profit) i) 0
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.
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signed z--w —date—._
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— CLASS OF WORK —
New Iteration Addition Demolish Move ❑
❑ ❑ ❑ ❑
Plbg. Mach. Elec., StruV.. Fire Prot.
❑❑t� Air ❑� ❑
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Occ. Gr. _ .'Z— V
Type Const. �
Use Zone
Use of Building
Floor Area 1l.-` y
Height
No. Stories M21Lot
Area 75.30. q'iFrontage
, :: • -
Occ. load -- Occ. Change from
Plat File No. — No. D.U. '
Garage area wr
sm . rea
Type heat < ;:
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation / j+C FEES
Plan Check ,__:",j
Permit
Parkland
City Sales Tax
7
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St. Oversizing>
Water Plant Investment
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Sewer Plant Investment
Storm Drainage
_
Electric Underground
-Total"Fees,
DistributionApplicant; B uel - Oli.>Canaryx" Sales Tax Pink - Applicanp-Tag �,B10g)Insp:L
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Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot f�L
Reversed Corner Lot ❑
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PR15 f�
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Street
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ZBA Case # Date
SBACase# 14 r Date
Building Insp. _.Approval
by date
'�i%c Cam -
Permit Now `
Date
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