HomeMy WebLinkAbout942 Strachan Dr - Permits/Single Family New - 02/01/1984City 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 h
Name
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Mail Address
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Phone
Name I 1 KJ
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Address
c
0
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License No.
Phone
2
Lot
Block
Filing Number
a
Subdivision
°
PUD
m
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DESCRIPTION OF WORK
Stock Options
Plan No. Codes
f
Est. Total Cost j
(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.
signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
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Occ. Gr.
Type Const.
Use Zone �'
Use of Building
Floor Area tOOR O �;
&Qht
No. Stories
Lot Area I I
Frontage
Occ. load
Occ. Change from
Plat File No. i 4. , :
No. D.U.
Garage area
Fin. Esprit. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning >. r
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions: f
f
Valuation FEES
Plan Check
Permit
_
Parkland
City Sales Tax
_
St. Oversizing
Water Plant Investment
Sewer Plant Investment
- -
Storm Drainage
Electric Underground
atal Fees
Disbibut�on Ongmal- Applicant,Blue - Office: Canary - SalesTax Pink Applicant, Tag - Bldg Insp.
Off -Street Parking
(No. Cars)
Interior Lot
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Corner Lot
❑
Reversed Corner Lot
❑
a
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N
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d
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C
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
IDate