HomeMy WebLinkAbout1013 Kremmling Ln - Permits/Single Family New - 03/21/1986City,: of Fort Collins BUILDING INSPECTION DIVISION
Ar.!LICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 0/3 AYe-r, rli
Name �; f
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Mail Address j/, ? J �e f ,. .. r �✓ F °Z3
Phone
Name
Address
License No. c _ S"
Phone
0
a
Lot Block
Filing Number
o
Subdivision
O
PUD
DESCRIPTION OF WORK
-A"(
Stock Options } C
Plan No. Codes I
Est. Total Cost �7_v
(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.
signed
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
PI❑bg. Mach./- EOM,. St ❑uc�Fire❑Prot.
Occ. Gr. ,% Type Const. ;,/
Use Zone/ZAP
use of Building
Floor Area
Height 1
No. Stories/,a fF'
Lot Area e-VV
Frontage �
OCC. load
Occ. Change from ^� '
Plat File No. .�' �.� j
No. D.U.
Garage area
Fin. Bsmt. area
Type heat 1::; /1
N . Fireplaces -stoves-
- RELEASES — Dates
Zoning
Engineering r
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check -"'
^ p f f
Permit
Parkland
City Sales Tax
i
St. Oversizing
Water Plant Investment
a
Sewer Plant Investment
Storm Drainage
Electric Underground
_
,Toal. rees,,.,
-
-Pal
j
Off -Street Parking G"
(No. Cars)
Interior Lot
Corner Lot ❑
Reversed Corner Lot ❑
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ZBA Case k Date
BBA Case If Date
Building Insp. / Approval
by Idate
Permit Nor�f—`-..-1,
Date
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