HomeMy WebLinkAbout700 E Drake Rd - Permits/Reroof - 12/04/1986 (2)i
City 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 r
Name rj
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Mail Address
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Phone
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Name
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Address
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License No. -- ,`�
Phone.,.. ,
a
Lot
Block
Filing Number
Subdivision
d
PUD
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.
signed _. date
— CLASS OF WORK —
New Alte�atiq� Addition Demolish Move
❑ 6 ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
HLIgh a
No. Stories
Lot Area
F rffage
Occ. load ,,
Oce. Cha a rom
Plat File No(
No. D.U.
Garage area
Fin. ft I. area
Type heat
ry0o. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
ValuationFEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Tot Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by dates
6//o
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_ `P t No.
Date
Distribution: Original - ApplicanC�" -'Office; Canary -Sales Ta :Pink-`Ap"plic t ag - Bldg,lnsp.