HomeMy WebLinkAbout1636 Dogwood Ct - Permits/Single Family New - 06/19/1986City. 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
Name I
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C
Mail Address>f' ,s✓+�
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Phone
O
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Name
Address
ACi
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License No. !-
Phone ,- - -
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Lot ?
Blo ck
Filing Number
N
N
Subdivision !
P U D
m
Parcel #
DESCRIPTION OF WORK
Stock ^fir 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 anii state laws regulating building construction.
signed date
— CLASS OF WORK —
Ne3o✓ Alteration Addition Demolish Move
.1i ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
Occ. Gr.
Type Const. ;l
Use Zone
Use of Building
Floor Area
Height
Lot Area;.: !d Frontage { ;
�t
Occ. load
Occ. Change from
Plat File No. r
No. D.U.
Garage area
Fin. Bsmt. area /
Type heat l
No fireplaces stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation 1 FEES
Plan Check ".�`
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
f' r r'
Storm DrainageC-
�.
Electric Underground
Total F Vs - -
Distribution: Original - Applicant; Blue - Office, Canary - Sales Tax, Pints- 'Applicant, Tag - Bldg. Tmp.
Off -Street Parking
(No. Cars)
Interior Lot
15y,
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