HomeMy WebLinkAbout3124 Lymen St - Permits/Single Family New - 04/23/1987City 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 3t24 wn= sr
Name D.R. EUM0 CCnatnWtiow Co.
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Mail Address {{06 yW glaeo
Phone 669- r1V
Name D.E. Bame Omstruetioan Co.
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Address {{06 Yeu Place
RAJ$
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License No. D. 29
Phone 6f3-83%
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Lot {5
Block {
Filing Number {
Subdivision thorn t1h3el
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PUD
Parcel # 97274-05-015
DESCRIPTION OF WORK
Single Family Reoidence
Coni for %
tax 3t 21750
Stock 248 Options /
Plan No. Codes f7
' / p
Est. Total Cost T o '�135-
(including labor, material, profit)
1 hereby acknowledge that 1 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 date
— CLASS OF WORK —
New Alteration Addition Demolish Move
0 ❑ ❑ ❑ ❑
Plbg. Mach. Elea Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const. Use Zone-•L,
Use of Building Single Fnilq Recidmee
Floor Area 1904
Height
No. Stories {
Lot Area9=
1 Frontage
Occ. load
Occ. Change from
Plat File No.(-) -.-
No. D.U.
Garage area 4W
Fin. Bsmt. area
Type heat GFn
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
[[�� / �{
Plan Review far_ ,1,L[... v { r
Special Conditions:
Valuation '-/,%�"� ��+ FEES
Plan Check
Permit.
--
Parkland
City Sales Tax
St. Oversizing
t--G9li!fe-
Water Plant Investment
Sewer Plant Investment
j' / 7 ,• ! e-
Storm Drainage
]•. �F.
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
v
Interior Lot A
Corner Lot Cl
Reversed Corner Lot ❑
` PN
� m
its
¢ t
Street A
if
o -
a
ZBA Case # Date
BBA Case# J Date
Building Inspi,•j .�•' Approval
�G!
H—
11
y date
Permit No.
Date
Distribution: Original - Applicant: Blue - office: Canary - Sales Tax: Pink - Applicant: Tag - efag. esp
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