HomeMy WebLinkAbout4366 Starflower Dr - Permits - 05/31/1983City 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
3
O
Phone
oLName
1`
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Address _.
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U
_
License No. a
Phone
n
Lot .:
Block
Filing Number .
N
Subdivision
W
PUD
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-
DESCRIPTION OF WORK
Stock _ Options
Plan No. Codes
_ -
Est. Total Cost
(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
signed date
— CLASS OF WORK —
New
0
Alteration Addition Demolish
❑ ❑ ❑
Move
❑
Plbg.
C1_
Mach. Elec. Struct.
E3 13 &
Fire Prot.
A3.
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Heigh[
No. Stories
Lot Area _ fr
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
/ y - Fin. Bsmt. area
Type heat _
.,_ No. Fireplaces or stoves
— RELEASES —
Dates
r
ing
ineering Departmentctric Department
er R 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
frig final - nppf6nf, Blue - Office, Canary - Sales Tax. Pink - Applicant, Tag - Bing. Insp.
Off -Street Parking
(No. Cars)
Interior Lot 13
Corner Lot ❑
Reversed Corner Lot ❑
a
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m
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c
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ll
Street
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Date
BBA Case It
Date
Building Insp.
Approval
by
date
0665
ts/-jl
Permit No.
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