HomeMy WebLinkAbout1742 Deweese St - Permits/Single Family New - 12/05/1986City 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 Address it
Name jzl
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Mail Address
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Phone
Name
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Z5
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Address
C
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License No. J
Phone
4
a
Lot
Block
Filing Number
Subdivision ', r! c < y . -
PUD
m
Parcel #
DESCRIPTION OF WORK
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.
siLd . date
— CLASS OF WORK —
New Alteration Addition Demolish Move
oC ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. - • f
Type Const. *;�r
Use Zone
Use of Building
Floor Area ;-
Height
No. Stories
Lot Area ,F _,
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U. /
Garage area .,l t_
Fin. Bsmt. area
Type heat ✓ , .y
No. Fireplaces or stovest .r-
- RELEASES — Dates
Zoning 7 1j L
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review -
Special Conditions:
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Valuation FEES
Plan Check
Permit
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Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
i
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
f7
Corner Lot
❑
Reversed Corner Lot ❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by
date
Permit No --,,Date
Distribution: Original - Applicant: Blue - Offi6e'. Cana - Sales Tax, Pink - Applicant, Tag - Bldg. Insp.