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HomeMy WebLinkAbout1049 Driftwood Dr - Permits/Duplex New - 05/08/1984City 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 W—i ^53 Driftwood 'Jr. Name TerryDra t c Mail Address 3519 S. Centennial Gr. 0 Ft. Collins, CO 80525 Phone 223-4178 Name MISTRUCTION CO m Address P.O. Box 14°8 o Fart Collins, CO v License No. v"3Q 1f,' 1 Phone 221-1795 a Lot 11/12 Block i Filing Number - t N o PUD N DESCRIPTION OF WORK build dupl�s Stock Options Plan No. 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. -- -- -- ---------- date . '^ sigld W — CLASS OF WORK — New Alteration Addition Demolish Move ❑ ❑ ❑ ❑ Plbg. Mech. Elec. Struct. Fire Prot. ❑ ❑ ❑ ❑ ❑ Occ. Gr. T Type Const. Use Zone " Use of Building imista residential 1, FloorArea 1500s f Height No. Stories 2 Lot Area Frontage 70' Occ. load Occ. Change from Plat File No. _. r • No. D.U. Garage area 400sf Fin. Bsmt. area N0 Type heat El eC BaSe No. Fireplaces or stoves 1 — RELEASES — Dates Zoning �_ / { r( Engineering Fire Department Electric Department Water & Sewer Plan Review Special Conditions: Valuation FEES Plan Check _ Permit Parkland City Sales Tax, " f , _ K 7 St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground Total Fees t Off -Street Parking (No. Cars) Interior Lot R Corner Lot ❑ Reversed Corner Lot ❑ r m CD to } � C O � LL Street c 0 ca ZBACase# Date BBA Case # Date Building Insp. Approval by date Permit No. Date Distribution. Original - Applicant, Blue - Office: Canary - Sales Tax. Pink - Applicant. Tag - Bldg. Insp.