HomeMy WebLinkAbout170 Kensington Dr - Permits/Footing and Foundation - 06/14/1984:K .- : --�t-�r-,:.��._......+e.-� :� .v. z.� ,a..e.-}.r'- - �,r.,.rirvr'�-�. » -ti^e-"-.'...'--'mac ---•.-:--«,..--�.:-�..^.-r-�s.-�,.'-:.:.-..-�\�.-°ti:�-+.��FT-.-.��_.�"'t6'. � -...�-,..--e�.^..�---`�-.�:.-,a„_�.� - ,..,..
City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT
AND
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CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
I — CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
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Job Address ,f
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Pl❑bg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
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Name
a�
c
Mail Address
Occ'. Gr.
Type Const.
Use Zone
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Use of Building
Phone
Floor Area
Height
Name x
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No. Stories
Lot Area
Frontage
m
Address
Occ. load
Occ. Change from
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Plat File No.
No. D.U.
O
License No.
Phone
Garage area
Fin. Bsmt. area
°
Lot
Block
Filing Number
Type heat
No. Fireplaces or stoves
n
N
--
Subdivision
— RELEASES — Dates
°
PUD
Zoning
J
Engineering
DESCRIPTION OF WORK
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
-
Valuation FEES
Plan Check
Permit
Stock Options
Plan No. Codes
Parkland
Est. Total Cost
(including labor, material, profit)
City Sales Tax
+
St. Oversizing
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.
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Distribution: Ori final - A he nt-Blue- Office: Canar Sales Tax 'Pink - A� licant:
9. PP y - PP
Water Plant Investment
Sewer Plant Investment
_
Storm Drainage
Electric Underground'
t
To di,Fees
Bldg. Ins
g. P ,.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m
(D
°
_IV
in
m
r
0
li
Street
0
6
m
ZBA Case #
Date
BBA Case #
Date
Building Insp..,'"' Approval
by _ date
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