HomeMy WebLinkAbout1636 Collindale Dr - Permits/Single Family New - 12/22/1986r
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y Of Fort ColllnS BUILDING. INSPECTION DIVISION
r: APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address1()--?4/�; f D _
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Name t, !{, •v ! z" 04 S!
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Mail Address l � y (", -
AP r / / �:2%,f�j V—
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Phone 2 z- i
Name
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Address r
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License No. // tj -
Phone
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Lot
Block �(
Filing Number
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Subdivision ,} P
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PUD
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Parcel#r/Jt�/' /7 J
DESCRIPTION OF WORK
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Stock Options
Plan No. -Codes
7
Est. Total Cost 7 --
(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 laws0Iregulating building construction.
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signed' ' � a.1e1 F-�
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Y Oisiributi n:Original-Applican:B ice; Canary -Sales ax: Pmk- pplicant-,i -BW ��Insp ly
— CLASS OF WORK —
Ne�v Alteration Addition Demolish Move
❑t "—) (i ❑/ ❑ ❑
PI g. Mach. -❑ Elec. Struuct. Fire Prot.
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Occzfr. Type'Const. '-�.
Use Zone �(, j^
Use of Building
Area �YjoOcc.
pFloorArelaft�Hea2.Lot
Change from3
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No. D.
Garage area y J
Fin. Bs
Type heat t��•%}S
No. Firep):ce or stoves
— RELEASES — Dates
Zoning ot(
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review 1
Special Conditions: f
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Valuation tf / iL�jlll "`FEES
Plan Check°-""rl
Permit
-'•� a!%
Parkland
City Sales Tax
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St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
'e C J
T' al Fee
P
Off -Street Parking
(No. Cars)
Interior Lot ❑<
Corner Lot ❑
Reversed Corner Lot ❑
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PRKS 515.7C:
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Street ^TnUR 57R nn
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TGTL 7?11.45
N25594 00435 A 3 t
DEC.22'06
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ZBA Case # Date
BBACase# Date
8uildin r Approval
g Ins p if
by date
Permit.No.
t Date
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