HomeMy WebLinkAbout2258 Iroquois Dr - Permits/Reroof - 08/25/1986.—..-.-...4...�.•-.'•—.e'vim"'�^^�,h.'."�...r?445r.hr.�-v�..:.�.-�....- r.`.,..-._. .....-s�-.v;r.... ;s„r,..,�h �•:�,
City 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
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Name t ( /'- i�"e
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Mail Address 2 5 h ZL 1r. ;3 Ui
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Phoney.-.tt
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Name :' x
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Address
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License No. �`
Phone M i _6
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a
Lot
Block
Filing Number
N
Subdivision
PUD
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Parcel # a'-7 1.
DESCRIPTION OF WORK
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L. "
11/irime ,!1*j f 3 a
1�Pi Fg) U"
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
's.
CL6SS OF WORK —
t.,New Alteration` Addition Demolish Move
❑ O` ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑. ❑ ❑
Occ. Gr.
Type Const. r
Use Zone
Use of Building ►r~ �.
Floor Area
Height.
No. Stories
Lot Area
Orontage-
Occ. load` '``
Occ 'Change from.
Plat File�No.f s 'f -
No. D.U,
v
Garage area j
Fin. Bsmt. area
A
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning _
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
�'. P'. '.i4,r�'�-`..-�.✓`.�".. �� f� sit° d. ,ff.+;�..�.�'�� e
Valuation% "' ,- FEES
Plan Check
Permitdy.
Parkland
City Sales,Tax
St. Oversizng
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution: Original - Applicant; Blue�Office; Canary •''Sales Tax; Pink;- Applicant; Tag =Bldg Insp.I I ).- J \ <,,.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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cr
t ) f )
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Street
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711
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ZBA Case # Date
BBA Case # Date
Building Insp. ;_,(Approval
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