HomeMy WebLinkAbout521 Skyline Dr - Permits - 05/12/1987C
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
Nam
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Address y �N
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License NoQ.i q[
Phone
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Lot
Block
Filing Number
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Subdivision
°
N
PUD
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Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No._ _ ,,lli Codes
Est. Total Cost
jincluding 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
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— CLASS OF WORK —
New Alte;0i Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mach. Ell Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const. Zone
Use of Building
Floor Area
Heigh
No. Stor'
L ea ro ge
Occ. IbKtl"lO
. Chapge
jl
Plat i o.
o. 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 Conditions:
�6w S
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribubpn'. Original - Applicant. Blue, - Oltice, Canary - Sales Tax. Pink - Applicant Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
a
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PRMTS 20.50
THEM A2' �i
Street
CHCK 3
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MAY.13'87
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
/
Permit No.
Date
W 45