HomeMy WebLinkAbout1704 Clearview Ct - Permits/Demolition - 07/02/1987City 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 - LCW
Name
m
Mail Address /%D
Lib/
Phone IjCg3r(o �.'7
Name 'e eiti
0
B
Address -::rO -CJ'
`o
Lill
License No. U5
Phone -6 P'75
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fi
Lot
Block
Fling Number
Z
Subdivision
0
PUD
m
°i
J
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost 6,
(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
annd�d state laws regulating building construction.
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slgned date
— CLASS OF WORK —
New Alteration Addition Demo' Move
❑ ❑ ❑ ❑
Plbg. Mach. Elec.- Strucl Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
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
AVi
St. Oversizing
17
Water Plant Investment
Plant Investment
_Sewer
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m`
m
yla
V
c
0
IL
Street
PRHTS
10.00
TOTL
10.00
CLACK 1
o N91469 20*7 A
a JUL.02'87
ZBA Case #
Date
BBA Case #
Date
Building Insp. pproval
date
by ate
LO( &
//J
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Permit No.
D to
nistrlbution: Ongnal - Applicant: 81ue-011ice: Canary - Sales Tax, Pink - Applicant: Tag -Bldg, Insp.