HomeMy WebLinkAbout1814 Indian Meadows Ln - Permits/Reroof - 10/24/1986City 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.
Address
.Job 1p c. vw
Name
Mail Address-
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Phone
Name
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Address
O
¢
License No.., j
Phone
c
Lot
Block
Filing Number
a
y
T
Subdivision
m
PUD
Parcel If
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
°,V)--
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 ley; regulating building construction.
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signed `. •,, ,date- \J
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— CLA4S OF WORK —
New Alterati Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
FloorArea
Height
No. Stories
I Lot Ar11efa !
Frontage
Occ. load
Ocr„rc,hanga from
Plat Fil ,No. 'J
No:
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'.f.
Parkland
City Sales Tax"
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
jjbtall,l \ ' c
- (7-,, -
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
i
`m
BE
V
t i
f 1
a
d
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c
0
LL
"J
Street
0
0
a
ZBA
Case #
Date
BBA
Case #
Date
Building Insp.
-Approval
by
date
Permit No,
Date
Distribution:Original- Applicant; Blue-Offfce: Canary- Sales Tax.Pink'-Applicant Tag - Bldg. lris' -