HomeMy WebLinkAbout1304 Lynnwood Dr - Permits/Reroof - 08/26/1986�'�z f,rzv�:•�.:.K��vt 3.��,,
City of Fort Collins
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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 ; r
Name L C{lf
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Mail Address 0
Phone 73 0
Name �_
Address
30
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0
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License No. �-- 0�
7l !-
Phone �� _ � 7� 1
0
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Lot
Block Filing Number
Subdivision
M.
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PUD .tY -• '�I
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DESCRIPTION OF WORK
U
Stock Options
,flan No. Codes
_Est. Total Cost 101 + / 6 n
(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,st to laws regulating building construction.
i
signed date
— CLASS'OF WORK —
New Altera ions Addition Demolish Move
❑ 0 Ll_❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area Height ( f
No. Stories
Lot Area ,�,t ! /... Fron{ get
Occ. load
Occ: Change from
`
Plat File/No. l js -
No. D.U. (,,
-Garage area j
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Cc lions.
Valuation ' t.� �� i ( r' FEES
Plan Check
Permit
Parkland
City Sales Tax
.ter m
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
i
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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0
JLL
Street
„ Ile
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ZBA Case #
Date
BBACase#
Date
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Building Insp. / Approval
by - 1 / i date
Permit No.
Date
Distribution, Original-Appllca.\Vu[uE-.Otiic�;G na Sales Tar, Pink "Gcanl 9ISlrbt'r,