HomeMy WebLinkAbout2200 Eastwood Dr - Permits/Single Family New - 05/22/1986f City 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
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Mail Address
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Phone.r��.�
Name ?"
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Address
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License No. �sr`„„
Phone"
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Lots_ Block Filing Numb%e
aSubdivision
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PUD
Parcel # .^sr -'Yef 7
<:�—DESCRIPON OF WORK
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Stock Options;
Plan No. Lae Codes
Est. Total Cost 14* yc f i
(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`
ordinances4aad state laws regulatingo6 lding constru tc on.
1 `ign`ed "dates t:
Distribution: Original - Applicant; Blue,- Office;"Canary - Sales Tax; Pink Applicant; Tag`- Bldg.,lnsp.
— CLASS OF WORK —
New, Alteration Addition Demolish Move
Plbg. Mech. Elec. Struct Fire Prot.
Occ. Gr,
Type Const./,�,
,Use Zone
Use of Building ""] �•
FloorArea /` , eight
No. Stories! r
Lot Area
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Frontage ,•'
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Occ. load
Occ. Change from
Plat File No. ff '�,„
No. D.U.
Garage area ,
FiniB m a ea r "'
Type heat,
No.�Ff eplaceseo stoves 8
RELEASES — Dates.
Zoning ef7 *i�` •._+��✓' j ^-,
Engineering t r
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation '� 'FEES
Plan Check
Permit
Parkland
City Sales Tax
6 41 �
St. Oversizing
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Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
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Total -Fees k--., -,
Off -Street Parking
(No. Cars)
Interior Lot •p>
Corner Lot ❑
Reversed Corner Lot ❑
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Street
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717,
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ZBA Case # Date
BBACase# , Date
Building Insp. /l d-Approval
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by fry., j date
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Date°