HomeMy WebLinkAbout5224 Coralberry Ct - Permits/Sprinkler - 10/06/1988City 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 ;I. t? fr
Name_I
a� Mail Address y y.� Lr �GI Yl eer L
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Phone
Name
g�I ddress
U License No. i Phone y3-- 3 Art ik
Contractor Sales Tax No. 2 / 1,45
Lot Block Filing Number
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Subdivision
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PUD
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Parcel # 6 p t% 1- i C - O .x-
DESCRIPTION OF WORK
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Stock Options
Codes
Plan No_q—.�—�—
Est. Total Cost —t�-�-
(including labor, mat rlal, profit)
1 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.
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signed date
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ ❑
PI❑bg. Mech. Elec. Str❑uct. Fire Prot.
❑ ❑
Occ. Gr. Type Const. Use Zone
Use of Building
Floor Area Height
No. Stories Lot Area
Frontage
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:
Valuation FEES
Plan Check
_
Permit
Parkland
City Sales Tax
St. Oversizing —
Water Plant Investment —
Sewer Plant Investment
_
Storm Drainage _
Electric Underground —
_
T�IoI Cooc
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
ZBA Case # Date
BBA Case # Date
Buildi In p Approval
by date
Permit No. Date
c,stobutlon Original-ApplicanP. Blue -Office.Canary- Sales Tax.Plnk- Applicant . Tag - Bldg.Insp.