HomeMy WebLinkAbout1415 Blue Spruce Dr - Permits/Electrical - 03/15/1983BUILDING 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 d Abick Pin ymcp Drive
Name yX
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Mail Address 1415 Blue SPn= Drive
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Phone 221-3391
Name
Ctric
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Address 1900 Heath Parkway
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Port Collins CO 80524
License No. M-143 jPhone 482-1135
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Lot
Block
Filing Number
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Subdivision
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PUD
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DESCRIPTION OF WORK
Chwicle service
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I
Stock Options
Ilan No. Codes
Est. Total Cost
(Including labor, material, profit)
1I 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.
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signed 1 � r tlate
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ o ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building �,•
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt, area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department r
Electric Department
Water & Sewer r
Plan Review
Special Conditions:
Valuation
FEES
Permit
Plan Check
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
City Sales Tax
Total Fees
�--� �('•'
Permit No.
Date -
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v
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
Delri i im: Original - Applicant; Blue - Office; Ganary - Sales Taxi Pink - Applicant; Tag - Bldg. Insp.