HomeMy WebLinkAbout1000 Camelot Cir - Permits/Reroof - 04/14/1988of 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
Name i
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Mail Address -
O
Ph e
Name-
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Addres
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License No.
Phon
Contractor Sales Tax No.
q`
Lot
Block
Filing Number
Z`.,
Subdivision -
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PUD
i Parcel If .�
t DES IPTIO -OF WORK
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Stock Options
Plan No. - Codes
I
Est. Total Cos
(including la r, materia(profi)
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.
gnetl date
A
= CLASS OF WORK
New Alteration Addition Demolish 'Move
❑ ❑ . ❑ ., - ❑ '. - ❑ - -
- . Plbg. Mach. - Elec. Struct. Fire Prot.
❑ ❑ ❑ _. ❑ ❑
Occ. Gr. Type Const.
a Zone
Use of Building - - -
FloorArea
1 ht
No. Stories
Lot A a
Frontage
Occ. load
c . han om - -
Plat File No. -
No. D.U. -
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
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
DistributionOriginal - Applicant: Blue - Office: canary - Sales Taxt Pink - Applicant{ Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
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Interior Lot "_ - - 0-
Corner Lot ❑
Reversed Corner Lot ❑
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Street
PRMTS 29.50
TAXPM 24.61
TOTL 54.11
CHCK 5
N23627 10:56 A
APR.14'88
0
ZBA Case# Date
BBACase# Date
Building
Insp. Approval - -
by
date
"
Permit No..
- Date - -
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