HomeMy WebLinkAbout960 Shire Ct - Permits - 01/20/1989City 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 ao S - ipe al
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Name ` cAt :/Ne (�WrQlt/d-bojx'.lG" i
-Mail Address
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Phone
Name ���
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Address n/
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License No. Phone /� _/—
Contractor Sales Tax No.
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Lot ,� �,
Block
Filing Number
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Subdivision
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Parcel # L 3
DESCRIPTION OF WORK
No4dlle
Stock Options
Plan No. __.__ Codes__.._ _
Est. Total Cost
(including labor, material, profit)
I hereby acknowl4dge that I have read this application and
state that the abo�e' is corr4t and agree to comply with all city
ordina ces an s41aegulating building construction.
sign date
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— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. El�ec.,. �, Struct. Fire Prot.
0 — ❑------ El tip ❑ ❑
Occ.Gr. Type Con Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Ara
Frontage
Occ. load
Dec. 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
Dist,rution. Original Apph,iiit Blue Offi Canary Sales Tax Pink - Applicant Tag altlg. 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
BRA
Case #
Date
Building Insp. Approval
by
date
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Permit No.
Date