HomeMy WebLinkAbout1707 Brentford Ln - Permits/Addition or Alteration - 05/29/1987=�vlty �`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 �-iV
Name ,9rro rJL e
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Mail Address
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Phone
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Name rri 5 O f p✓ r i�
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Address
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License No. G—
Phone.
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Lot Block Filing Number
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Subdivision
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DESCRIPTION OF WORK
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Stock Options
Plan No.—.7 Codes
Est. Total Cost% .J`.S
(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
ordinane and statt�teellaaJws regulating building construction.
signed dw -
— CLASS OF WORK
New Alterationn/Addition Demolish
❑ ul- ❑ ❑
Move
❑
Plbg. Mach. Elec. Struct.
❑ ❑ ❑ ❑
Fire Prot.
❑
Occ. Gr. Type Const.
Use sejoll e
Use of Building
Floor Area
H '
No. Stories
t o a Flkage
Occ. load -
Co. C
e fr
Plat File No.
. D
Garage area
in. Bsmi 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
!
St. Oversizing
-
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
. (No. Cars)
-
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
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in
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LL
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Street
PRMTS 29.50
TAXPM 23.71
TOTL 53.21
CHCK 5
N90451
11:00 A
JUN.01'87
0
a
ZBA Case #
Date
SBA Case #
Date
Building Insp.
Approval
by
date
�fhj�//J
Permit No.
Date - -
.21
D,stnbulion' Original - AFlVI¢an( Blue - OfOce: Canary - Saes Taa. Pink - Appl,c.W Tag - Bldg. Insp.