HomeMy WebLinkAbout655 Justice Dr - Permits/Single Family New - 06/16/1988I ^.
City of Fort 'Collins
BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERhi AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly usingballpoint pen.
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Name / V /r
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Mail Address
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Phone
Name
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Address ^�!✓'�,4,.
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License No. i _ +�
Phone
Contractor Sales Tax No.
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Lot
Block
Filing Number
Subdivision
PUD
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%� � `/G' Parcel # -e,/
DESCRIPTION OF WOORR-K^-
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Stock 4_ Options
Plan No. Codes
Est. Total Cost aO
(including labor, material, profit)
I hereby acknowledge that I have read this application and
stale that the bove is correct andagree to comply with all city
ordinance .and state laws regulating building construction.
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Cislribuhon: Original - Applicant Blue - 61fce1 Canary - Sales Tax; Pink - Applicant Tag - Bldg. Insp.
— CLASS OF WORK —
N Alteration Addition Demolish Move
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Plbg Mech. Elec. Struct. Fire Prot.
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Occ. Gr.p
Type Corist:
Use Zone
Use of Building F
Floor Area
Height
No. Stories
Lot Area
Frontag , G
Occ. load
Occ. Change from
Plat File No.,0 ('-
No. D.�area
Garage area ��
Fin. Bs.41 AV
Type heat �jt%fi�„y
No. Fireplaces ol�teres
RELEASES — Dates
//—
Zoning
Engineering G
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation 5! i L)
FEES
Check Plan
5 j . d(i
Permit
Parkland
City Sales Tax
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St. Oversizing
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CD 2- t7
Water Plant Investment
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Sewer Plant Investment
, O�
Storm Drainage—Li
1 }.t al'
Electric Underground
3 —.011D
Total Fees !
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A
Off -Street Parking
(No. Cars)
Interior Lot
Corner Lot
Reversed Corner Lot ❑
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ZBA Case # Date
BBACase# ^ Date
Building
Insp. Approval
by
date
Permit No.
Date