HomeMy WebLinkAbout1718 Eastwood Ct - Permits/Reroof - 09/25/1986�r>..'."',,,.Y��``i'Yrp=
City.r,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
Name "
Mail Address j r
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Phone
Name f
Address t
License No. t " "Pho
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a
Lot Block
Filing Number
N
Subdivision
°
PUD
m
J
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est, Total Cost -�•'' ttr
(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.
— CLASS OF WORK —
New Alteration,./ Addition Demolish Move
❑ G7d ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building -
FloorArea j
Heights_ �.
No. Stories'
Loi;Area
Frontage
Occ. load'^ l Occ. Change from
Plat HAD- � � 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;
..
x
Valuation �`= °` - � ,.. FEES
Plan Check
Permit
Parkland
City Sales Tax
�-^ " p
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
STbtal Fees
Y s signeddate,'
Distribution: Original -A pplicant; Blue = Office; Canary - S la es Tax: Pink" AppIicanft: Tag -Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. ! Approval
✓
by} ry date
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Date