HomeMy WebLinkAbout5901 Southridge Greens Blvd - Permits - 04/27/1988City 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
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Name s (JST (�
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Mail Address�e
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Phone
Name
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Address
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License NoPhone
Contractor Sales Tax No.
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Lot Block Filing Number
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Subdivision
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PUD
Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No._ _ % Cods___ _.
Est. Total Cost
(inclu ing labor, mat vial, profit)
I h reby ac owledge that I have read this application and
state th t the ab e is correct and agree to comply with II city
ordinan s and ate I ws egulating building c nstr coon.
signed ate
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— CLASS OF WORK —
_N w Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
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 Conditions:
Valuation FEES
Plan Check
Permit,
-
Parkland
City Sales Tax
St. Oversizing
�—
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees .
ib"non Original - Ap �canf. Blue - O�� e. Canary - Sales Tax. Pink - Applicant Tag - Bldg. Inca
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Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp.
pproval
by�''/) date
Permit No.
Date