HomeMy WebLinkAbout605 Dartmouth Trl - Permits/Reroof - 10/08/1986City 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.
Job Address3Phone
Name YGt
Mail AddR I►�1 r70
5 CO D 5a 5
y % �� l Ap
Name l! -TNG ,
Address 30� W r05 C
0 Ord -Co/ ivls cc 65;aC�
License No. 3
Phone a 1 —y�
a Lot
Block
Filing Number
y Subdivision
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J
PUD
m
m
Parcel #
DESCRIPTION OF WORK
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F"eCoVor W 2j
l 5 Yes
rtl Lk-heil OL, I3 S O
Stock Options
Plan No. Codes_
Est. Total Cost_ 'f v' R "00
(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--- —-------- date.. -
— CLASS OF WORK New Alt a h Addition Demolish Move
❑ ❑ ❑ ❑
P bg Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑
Occ. Gr. Type Const. Use Zone
Use of Building i
Floor Area Height
No. Stories 'Lot Aram cr.,i f
Occ. load
Occ. Change from
Plat File No.
No. D.U.
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:
. I ;
Valuation FEES
Plan Check
Permit
'l
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
canary - Sales Tax'. Pink - Applicant: Tag - Bldg. Insp.i
Off
Interior
Corner
Reversed
-Street Parking
Lot
Lot
Corner
1
(No. Cars)
❑
❑
Lot ❑
m
m
a�
VV
in
c
0
ILLStreet
0
0
M
ZBA Case#,
Date
BBA Case #
Date
Building Insp.
- Approval
by
dates
i�
Permit No.
ate