HomeMy WebLinkAbout700 E Drake Rd - Permits/Reroof - 11/14/1987 (2)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
Name
`m
Mail Address
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Phon
Namyxii
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Address
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License No. S- Phone
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Lot
Block Filing Number
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—
Subdivision
0
PUD
Parcel #
DESCRIPTION OF WORK
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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
— CLAWO SS OF RK —
New Altera 1 Addition Demolish Move
❑ l❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Us Zone
Use of Building
Floor Area
igl
No. Stories of
rea Frontage
Occ. load
ange from i
Plat File N
o. .
Garage area
smt. 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
StOversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
-
Electric Underground
Total Fees
Off -Street Parking
i
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m
m
m
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0
_ALL
Street
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ZBACase#
Date
B BA Case #
Date
Building Insp.
pproval
by date
Permit No.
Date
.19
nispTWlon'. Original - Applicant Blue - Office: Canary - Sales Tax. Pink - Applicant. Tag - Bldg Insp.