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HomeMy WebLinkAbout1631 Collindale Dr - Permits/Addition or Alteration - 08/20/1986City 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. Job Address n Name o Mail Address 3 ' O G Phone a Name o Address c 0 O License No. Phone n Lot Block Filing Number Subdivision PLO Parcel # Q 8 �f DESCRIPTION OF WORK �✓ ✓ I Stock Options Plan No. Codes, - 06 Est. Total Cost" (including I , 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 d to r — CLASS OF WORK — New Alteration Addition Demolish Move ❑ ❑ ❑ ❑ Plbg.J Mach.Elec� St ❑uct. Fire Prot. Oca Use Zone Use of Building Floor Area Height No. Stories Lot Area 100 Frontage Occ. load Occ. Change from Plat File No. Q No. D.U. Garage area Fin. Bsmt. area Type heat fj,. No. Fireplaces or stoves — RELEASES — Dates Zoning Engineering Fire Department Electric Department Water & Sewer { y Plan Review r;,}' r =f1'�i"'"7 r �;f i'�-'7l-`"t4.,•• Special Conditions .... i - Valuation r" FEES Plan Check Permit ° Parkland City Sales Tax St. Oversizing Water Plant Investment Sewer Plant Investment - Storm Drainage Electric Underground 'Total"Fdes`ti� it \i, I Off -Street Parking —, (No. Cars) ' Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ m in i in c 0 LL "J Street :'rcatTC -7 ant°r�s �r_I TOR 14.. }LDi43S 2^:20 a e ADDENDUM ZBA Case # Date BBACase# j Date Building Insp. : Approval by i 1 , -% date }1 % C l.. Permit No.,,� (Date disKlbut%n: Original `Applicenp slue -0t(ice; Canary= sales Tax-PinO Appijcanl Tag - 61tlg Inge