HomeMy WebLinkAbout911 Gilgalad Way - Permits/Footing and Foundation - 05/02/1985of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION .FOR BUILDING PERAAIT 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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Address t} retz
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License No.
'Block
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Filing Number
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Subdivision
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DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est Total Cost ! �)/b )
r, I including labomateii'al, 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.
signetl V V �-.-.� f date��
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— CLASS OF WORK —
New Alteration Addition Demolish Move
-all ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const. r
Use zone 2�7
Use of Building !�IA
Floor Area / -).W
Height
No. Stories
Lot Area 1
Frontage -
Occ. load
Occ. Change from
Plat File No. ,,.f.k4(4 ,
No. D.U. I
Garage area t g
Fin. Bsmt. area .,�---
Type heat r-tt- U
No. Fireplaces or stoves
— RELEASES — Dates
Zoning iI t" - )/
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
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.
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
-
[,Total -Fees N
Disvibubon Ouginal-Appbcanr Blu&�c�tllae: genary �Sr les Ta� iv. �A�pp)me%C Tag �41VN; IAp.
Off -Street Parking �^
(Nd-Cars)
Interior Lot
Corner Lot ❑
Reversed Corner Lot ❑
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ZBA Case N Date
BBA
Case a Date
Building Insp.
( Approval
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