HomeMy WebLinkAbout960 Shire Ct - Permits - 07/18/1986City 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.
a
Job Address
Name
a`)
c
Mail Address
3
Phone
Name
o
Address,
C
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License No. _,
Phone
°
Lot Block =
Filing Number
H
Subdivision
a
A
PUD LIf3:sti'i'J Okf' i th "
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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.
signed date
— CLASS OF WORK —,
New Alteration Addition Demolish Move
0 ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height .4 T'
No. Stories -
Lot Area -
3
Frontage -
Occ. load
Occ. Change from
Plat File No. '. ;
No. D.U. }
Garage area
Fin. Bsmt. area — .—
Type heat ""
No. Fireplaces or stoves 9-
— RELEASES — Dates
Zoning ?. %
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEIES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
TotFees
Distribution: Original - Applicant; Blue -.Office: Canary - Sales Tax: Pink Applicak Ta) - Bldg. Insp.
Off -Street Parking
(No.
Cars)
Interior Lot
GI
Corner Lot
❑
Reversed Corner Lot
❑
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0
U_
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Street ut .ctur't
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ZBA Case #
Date
BBA Case #
Date
Building Insp. i _I Approval
byt date
'
i
'o/
!
t.
Permit No.
Date
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