HomeMy WebLinkAbout1713 Dora St - Permits/Single Family New - 12/03/1986City 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 jig Dore $teeet
Name ie Scraee',r
w
Mail Address 13 : e nVc
Phone ate'1—Gzs1'i
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Name
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Address
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License No. I,�1,: Phone
2
n
Lot 71
Block
Filing Number
Subdivision _;j lticl"t1i•1, 4 .,~C;:: ;..
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°
PUD
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Parcel # _. 3 � ,;._��__. r
DESCRIPTION OF WORK
Mood crick
5toe1C Plan Pendirn
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
— CLASS OF WORK —
N w Alte Addition Demolish
❑ ❑
Move
❑
Plbg. Mec Elec Struct.
P�y
Fire Prot.
Occ. Gr Type C`o�nst..
Use Zone
Use of Building i /c
Floor Area
Height
No. Stories
Lot Area
Frontage
i ?
Occ. load
Occ. Change from
Plat File No. (f1
No. D.U. /
Garage area ,
smt. area
/ r
Type heat / r r I
No. Fireplaces or stoves
— RELEASES —
Dates
Zoning f )i� :;t'
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation ' i FEES
4
Of
Plan Check
'
Permit
Parkland
f / "
.
City Sales Tax
St. Oversizing
l
Water Plant Investment
�~
/
Sewer Plant Investment
Storm Drainage
i ('
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
4
Corner Lot
❑
Reversed Corner Lot
❑
4J }
`m
d
IV
Y.)
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T
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0
J 1L
Street
C
0
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
2
4Dt
Psrf?r Flo.
Distribution. Original - Appl aTbt' Yi9- 08ics. Canary - sales Tax. Rink 'Applicant Tag - Bltlg. Insp.