HomeMy WebLinkAbout1013 Bitterbrush Ln - Permits/Patio Cover or Sunshade - 07/27/1987City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using $all point pen.
Job Address l
Name
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Mail Address f C7/3 gjt*rbrus
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Fvr`l Cr.1l/nf
Phone
Name To*7 Ri/cbe-/ 4?,I i vjv w
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Address Z(7s Z& O//G AVK
col
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License No. Q jU6
Phone
Contractor Sales Tax No. Z
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Lot ' Block Z
Filing Number
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Subdivision W06lq41D
/�QJ D
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PUD
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Parcel # 27 3-5-3— 66 — 0677
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 construction.
iLfiARCr9 �J �
signed date
— CLASS OF WORK —
New Alteration
❑ ❑
Adding n Demolish
❑
Move
❑
Plbg. Mach.
❑ ❑
Elec. $[r�yet
❑ l9
Fire Prot.
❑
Occ. Gr
Type Const(� �
Use Zone
Use of Building
S F % '
Floor Area �/
Heigh
No. Stories
Lot Area
age
Occ. load
cc.
ha f
Plat File No
Garage area
t. area �—•�
Type heat --
No. Fireplaces or stoves ^�+
—
RELEASES —
Dates
Zoning
19,04b `a-�-
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
'Valuation
FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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V
Street
PRMTS 16.00
TAXPM 11.69
TOTL 27.69
CHCK
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ZBA Case #
Date
BBA Case #
Date
Building Insp.
Approval
by
date
Permit No.
Date
.69
Midnbatioa: Original - Applicant Blue - Office; Canary - Sates Tax -Pink - Applicant: Tag - Bldg. Insp.