HomeMy WebLinkAbout4129 Stonegate Ct - Permits - 04/25/1988City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PgR#AIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address i z
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Name 6ci
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Mail Address"K �< ' Gam•
Phonet�' f^
Name r
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Address
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License No"C
Phone
Contractor Sales Tax No. !a ';
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a
Lot Z{
Block]
Filing Number,.
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Subdivision
PUD
rn
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No, Codes
Est. Total Cost io 3 24c,�) ;
(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.
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— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
(Plkg - ech. Elec. Str❑uct. Fire ❑Prot.
Oc .firr. —
Type
Use Zone
Use of dtwidingt c. �7,P
Floor Area {
Height
No. Sto4s,
Lot Arear # j
Frontages ]
Occ. load,
O(e'. Change from
Plat Fil4rNo&27*"W
No. D.U.
Garage area
�. Bsmt. area 3
-)
Type heat. l ;,
N Fireplaces
— RELEASES — Dates
Zoning ,
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review'' + 1
Special Conditions:
Valuation FEES
Plan Check.
Permit
,
Parkland
City Sales Tax
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St. Oversizing
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Water Plant Investment
LtiLj
Sewer Plant Investment
Storm Drainage 5J(7 • b r
Z >3 <;
Electric Underground
Total Fees
K'1
D.Slribut.on. Original - AppiieapC PI w"olti(N. Ca6r Sflet Tax}t'.i�k n'AfplicaRl; Tao-tBl".4nSPr•- ;
L ,
Off -Street Parking CP
(No. bars)
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
date
Permit No.
Date