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HomeMy WebLinkAbout1706 Birmingham Dr - Permits/Single Family New - 09/05/1986City 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 1706 Birtaia*iav Drive Name Tri-Tread, lac. C Mail Address 1401i u. Horsetootit Road 3: 0 Fort Collins, (X) 80526 Phone 2423-5050 Name Roger Strauss 0 t Address 1800 W. horsetooth Read 0 — Fort Collins, W 80526 U I License No. Phone 223-5050 C 2 Lot 129 Block Filing Number Subdivision JSrbo PUD -;727' 3-' DESCRIPTION OF WORK strl�10 Family bwellilwj 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 ordinances and state laws regulating building construction. signed datq — CLASS OF WORK — New Alteration Addition Demolish Move IT 0 0 0 11 PIbg. Mech. Elec. Struct. Fire Prot. IX M EX IX IT, Occ. Gr. 3 �Type Con,t. V—N I Use Zone 77JIS-1 Use of Building iiagle Weirdly i;esl;ue_ace 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 j 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 % Off -Street Parking (No. Cars) Interior Lot 0 Corner Lot 0 Reversed Corner Lot 0 Cz (z IV (D 2 —V J_ Street I rMkl 01 a7l' r -ve 0 io co ZBACase # Date BBACase # Date Building Insp. Approval by date 0L -.,Permit N'a.- , Da e Distribution: Original - Applicant, Blue - Office; Canary - Sales Tax; Pink - Applicant; Tag - Bldg. Insp. i /f