HomeMy WebLinkAbout500 Strachan Dr - Permits - 09/03/1986City 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 en.
Job Address 5
Name "1 v
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Name
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Address 7
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License No.
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Lot Block Filing Number
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Parcel #
DESCRIPTION OF WORK
54 t
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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 built rig construction.
signed
— CL9SS OF WORK —
New Alte(atigK Addition Demolish Move
❑ m/ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Dec. Gr.
Type Const.
Use Zone
Use of Building /
Floor Area Hei h
Np. Stories
A
ro ge
Opc. load
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Plat File !w
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Garage area ,
An. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
G
_
Valuation
FEES
Plan Check
Permit
Paikland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
D,shiGullon Original - Appboam, Blue - Office', Canary - Sales Tax'. Pink - Applicant. Tag - 61tlg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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ZBA Case #
Date
BBA
Case #
Date
Building Insp.
val
by
date
Permit No.
Date