HomeMy WebLinkAbout2031 Kingsborough Dr - Permits/Addition or Alteration - 06/02/19831 .l
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rt 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 AddressTj ,; K,ri�N!S.OirrEi�rf/
Name
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Mail_.Address ' •�� jyyF ''
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Phone
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Name Krr"% L1T'Tr%E'Ii FI:�
Address
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Co 44
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License No. /Q -'i
Phone
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Lot Block
Filing Number
Subdivision E"�/ KjJp LL,S li
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DESCRIPTION OF WORK
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Stick Options
Pan No. Codes
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Est. -Total Cost`��
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r rEding labor, material, profit)
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� 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
91, %.
- signed j date
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— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gra Const. .
Zone yl'"-J.
Use of B g
Floor Area
Height
No. Stories
Lot Area _ Jg, qff
gin...,.
Frontage
Occ. load
Occ. Change from
Plat File No. 37
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
+
Zoning 0 ice✓ t4 1Y / }! 7
Engineering
Fire Department
Electric Department
Water &Sewer �K 5 ) P
Plan Review . /,' cl ")J
Special Conditions: F (= ;. $'S 1r /10 r
� S U o • � 'SY.
Lr U1,1: Q OcG I, 1A)0
valuation 10'1- O ' %a tq W--EES
Plan Check
; 00 • & D
Permit v
Cl v'O
Parkland
City Sales Tax
A;�
St. Overs izing
IV !
Water Plant Investment
Sewer Plant Investment
f `
Storm Drainage
_
Electric Underground
v' -
Total Fees
==
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2t
y,72.
. f
Off -Street Parking
(No. Cars)
Interior Lot
;41
yReversed
Corner Lot ❑
Corner Lot ❑
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Street
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10
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ZBACase# /__3 Jj.
Date /;
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B BA Case #
Date
Building Insp. Approval
by date ;
' Permit Nd.
Date
�.
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Distribution: Original - Applicant; Blue - Of ice, Canary - Sales Tax: Pink - Applicant Tag - Bldg. Insp. e4 0 / . V 0