HomeMy WebLinkAbout1642 Collindale Dr - Permits/Single Family New - 12/04/1986of4 Fort CollinsBUILDING 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 672 G o t ,-�(-�� t_
Name ( l-tir r,t z c
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Mail Address ("j \NS t'
Phone 7 2 7-• 2 ),
Name'�-
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Address
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License No. � 'r S
Phone
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Loth Block Filing Number
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Subdivision C--
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PUD
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Parcel# y7 �. 3,y_ �/Y- 0�4
DESCRIPTION OF WORK
1
Stock Options
Plan No. Codes
J
Est. Total Cost
(inc)uding 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
ordinancegt and state laws regulating building construction.
— CLASS OF WORK —
New Alteration Addition Demolish Move
M R. ❑R ❑ ❑
Plbg. - -Mech. `,Elec. Struct. . Fire Prot.
Occ. Gr.'� .� Type-Const. Use Zone
Use.of'Building��—
FloorArea - 3S.!
Height 7 (�
No, Stories Z
Lot Area Igg qi
Frontage
Occ. load ^'�
Occ. Change from "^!
Plat File No.
No. D.U.
Garage area 7411.
Fin. Bsmt. area
Type heat ,' S
No. ire lac s or stoves f
— RELEASES — oat s
Zoning —
�1J
_
Engineering
Fire Department
Electric Department
Water R Sewer
Plan Review a'? 12 �!
Special Conditions:
O�
Valuation FEES
Plan Check
Permit
Parkland
%
City Sales Tax
St. Oversizing
r
Water Plant Investment
_.
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fee
signed
Distribution: Original - Applicant:
lur -. f ice, Canary -Sales
ax; Pm - pplicanr, Tag-
7
Off -Street Parking
(NXInterior Lot
Corner Lot ❑
Reversed Corner Lot ❑
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Street /fJ%—i
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PRMTS 527:R5
ett; fi F'}:FEE 625.00
a STOVR 575,00
>" VGEKC 279.00
TOTL 37E7.97
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ZBA Case # Date
BEACase # ! Date
Building Insp. r �( Approval
by t date
,.r.,/�^;��
�._ Permit No. �..,- \
Date
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