HomeMy WebLinkAbout1512 Brentford Ln - Permits/Sprinkler - 08/27/1986City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMITANDCERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name
ar
Mail Address I
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0
F C�
Phone
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Name.
Address
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-
License No.
Phone yf _
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n
Lot
Brock
Filing Number
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Subdivision
o
R
PUD
Parcel # 10 _ _ ,o
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
ordinancesand state laws regulating building construction.
signed date
— CLASS OF WORK — -
New AiteCaI Addition Demolish Move
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
UseNzone
Building
Use ofOf
Floor Area
Height 11-461,
No. Stories
Lot Area
F o
Occ. load
Occ n
e fr m
Plat Fil o.
- D
rag re
n. Bs t. area
Type t
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
OistnDubon: Original - Applicant; Blue - Office, Canary - Sales Tax; Pink - Applicant; Tag - Btdg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
City of 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.
it
Job Atldress
t
Name /")`:n �i h "
,0
Mail Address r;• .ry s1'
�t d ",I, Cu 1
Phone
Name �7r:1 -�r .n.r".. !�>•. l
o
Address
o
O
License No. <,"}' 3
Phone,
Filing Number
=I'd
; }
DESCRIPTION OF WORK
j
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, material', profit)
(.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.
ir:
r
— CLASS OF WORK —
New Alte,,L.o �.Addl❑tion Demolish Move
❑ CI✓
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Or.
Type Const.
Use Zone
Use of Building ./�h-r`' Jf �4 .,t f % I
Floor Area r r
/_,
Height i�.✓.i
No. Stories
Lot Area } F rontage/
Occ. load
Occ. Change from
Plat File No. 'v "�
No.•D.U.+,r
33rage areal ♦rr / -
Ftin. Bsmt. area
Type hreat'
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation �.{' (•- FEES
Plan Check
Permit
�.r ,>�C Il
Parkland
r i
City Sales Tax
•�"~
__9_
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
0,st, twn. Original - ApphcaM. elue - Oftice^Canary - Sales Tax; Pink - Applicant Tagl- Bids) sp._Y<�
Off -Street Parking
(No. Cars) .
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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m
`m
y
l 1 ( I
d
a
Y
c
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Street
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ZBA Case .. Date
BEACase # i r e Date
Building Insp. '
jApproval
by Y'%+/ry
date
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