HomeMy WebLinkAbout867 Sandy Cove Ln - Permits - 09/18/1983City 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 (fQ(/E
Name LEL-i -kj
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Mail Address 7Z1 d 5 P0C% kQ
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Phone _C8b
Name
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Address �Jy 170CKLp,
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License No. Phone 03
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Lot Block
Filing Number
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Subdivision
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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
sigi.ed date
— CLASS OF WORK
New Alteration Addition Demolish
❑ ❑ ❑
Move
❑
Plbg. Mech. Elea Struct.
❑ ❑ ❑ ❑
Fire Prot.
❑
Occ. 'i
Type Const.
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Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Dec. load
Occ. Change from
Plat
Plat File No.
No. D.U.
area
Fin. Bsmt. area
Type heat
No. Fireplaces or-sgevi
— 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
Distribution. Original - Applicant, Blue - Crdice. Canary - Sales Tax'. Pink - Applicant', Tag - Bldg. Insp.
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. Approval
by date
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Permit No.
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