HomeMy WebLinkAbout129 Frey Ave - Permits/Single Family New - 01/28/1988City 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 2
Name
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Mail Address
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Phone • r
Name 57
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Address
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License No.
/ Phone
Contractor Sales ax No. —
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Lot
Block
Filing Number
Subdivision
A
PUD
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Parcel H -' 1 D 3 i i
ON
DESCRIPTION OF WORK
A, wil
I G m
Stock Options
Plan No. Codes
Est. Total Cost aJ
(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
o 'nances and state laws regulating building construction.
r— �
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signed date
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— CLASS OF WORK —
e .Alteration Addition Demolish Move
❑ ❑ ❑ ❑
I bg. Mezc Elec. Strucf. Fire Prot.
B�
Occ. Gr Type Const.
Use Zone R
Use of Building
Floor Area
Height
No. Stories; Lot Area 01Y70
Frontage SS(
Occ. load Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat heat -
No. Fireplaces or stove
— RELEASES — Dates
Zoning Q C
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
'F4a -2-83-t9
Valuation Off` FEES
Ian Check
Awmgw
Permit
Parkland,
c)zi
City Sales Tax
St. Oversizing
0 Z2, OO
Water Plant Investment
1 '7 8T.
Sewer Plant Investment
I 0 , bO
Storm Drainage -----'EQO
Electric Underground
'L, ,001
q r�� Ltl ri
l0 8.7
Total Fees
/
Off -Street Parking
(No. Cars)
Interior Lot
Corner Lot ❑
Reversed Corner Lot ❑
3�rI m
m
:
ai
0
L 0
VJLL
DI AI
PRMTS 303.07
Street D"FEE 625.00
pM grip 7c
STOVR 622.00
STORM 266.00
TOTL 2362.82
CHCI. 236
N21708 09:31 A
JAN.28'88
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ZBACasek If If 4g Date I Ia'
BBA Case If Date
Building Insp. G, Approval
by
/ " date
n
Permit No.
Date
)iMrVptnnn. Original - Applicant: Blue - Office; Canary - Sales Tax:.Plnk - Applicant. Tag - Bleg. Insp.
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