HomeMy WebLinkAbout913 Sailors Reef - Permits/Addition or Alteration - 09/23/1987City 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 '—
Name
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Mail Address
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Phone
Name
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Address
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License No. — Phone
Contractor Sales Tax No.
Lot
Block
Filing Number
aSubdivision
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PUD —�
rn
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Costrn
(including labor, ma erial, 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.
Igned date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building —
FloorArea 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 Ott
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check — 3
IV& b�67
Permit
13 fs-2—
Parkland
City Sales Tax
`2 _ 7
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
J
Off -Street Parking lV�
(No. ars)
Interior Lot `jam
Corner Lot ❑
Reversed Corner Lot ❑
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ZBA Case # Date
BBA Case # Date
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Building
Insp. Approval"y'�Ti
By
ICE date
Ct
Permit No.
Date
.57.
Distribution: Original - Applicant; Blue - Office; Canary - Sales Tax;.Pink - Applicant: Tag - Bldg. Insp.