HomeMy WebLinkAbout504 Spring Canyon Ct - Permits - 03/06/1987City 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
Nameiw.k C ! t 1f r
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Mail Address
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Phone
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Name (. k,rit�.Gl•1 � �1'\6
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Address r . t",
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License No. D-15 Phone }
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Lot
Block '�—
Filing Number
Subdivision �A� y C
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PUD
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Parcel # � � ��.�- _�,_s uL:'• i
DESCRIPTION OF WORK
r
Stock Options
Plan No. __._._ -_Codes
Est. Total Coz��-� _. _..
(including abW. material, profit) -
I hereby ackngwledge 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.
sd ned t date
— CLASS OF WORK —
New Alt on Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. M ch. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
I Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special f ions:
Valuation (FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
DistributionOriginal - Applicant. Blue - Office_ Canary - Sales Tax'. Pink - Applicant Tag - Bldg. Insp.
a
I
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m
m
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P
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L
PRMTS
11.50
Street TAXPM
8.25
TOTL
19.75
CHCK i.
N27747 13:20 A
MAR.09'87
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
clate
.75