HomeMy WebLinkAbout809 E Drake Rd - Permits/Reroof - 02/23/1987C7t.v of For" CQJ7_InS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING i'Elthi AND CERTIFICATE OF OCCUPANCY
Applicant complete this Fart of form only.
Press firmly using bell roint pe�n.—
N a'nE
Mail Addresst-
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— Phone
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Name
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License No�--(
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Lot
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Block
Flling Number
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Subdivision
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A
PUD --
Parcel #
DESCRIPTION OF WORK
AV-
JYi�LJH AO
Stock Options
Plan No. Codes
Est.
Est. Total Cost
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(including labor, material, profit)
I hereby acknowledge that I have reed this applicaticn and
state that the above is correct and agree to comply with ell .ity
ordinances and state laws regulating building construction.
r4 1! .42 _/P _77ti
si ned date
— CLASS OF WORK —
New Alt Lion
❑
Addition Demolish
❑ ❑
Move
❑
Plbg. M ch.
❑ ❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const.
Us one
Use of Building
Floor Area
e' ht
No. Stories
t
ea
F ntage
Occ. to
cc
ange fir
Plat Fil
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Garage
Bsmt. area
Type heat
No. Fireplaces or stoves
—
RELEASES —
Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
0
Valuation
FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Ejiuuuu, unginai - nppncanr. CWe - Omen; Canary -Sales Tax: Pink - P pp icant, Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
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Cis
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1
0
0
Street
PRMTS 62.50
TAXPM 94.05
TOTL 156.55
CHCK 15
NO-7310 01030 A
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.2
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date
,55
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
a`)
c
Mail Address
3
O
Phone
Name
0
Address
c
0
U
License No. _
Phone
c
°
n
Lot
Block
Filing Number
N
v
Subdivision
rn
PUD
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost tJ
(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.
t
signed -._ date
— CLASS OF WORK —
New Alte tion Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use' one
Use of Building
Floor Area
e' ht
No. Stories
Lot Ar a
Fr ntage
Occ. load
Occ/Change from
Plat Fil IyF.
N . D .
Garage Waa
Fi Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation 1 t. ` / ,' FEES
Plan Check
Permit
Parkland
City Sales Tax
!•
St. Oversizing
Water Plant Investment
_Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees ,
uimlmuuon: ungmai - Applicant, Blue - Ottice-. Canary - Sales Tax'. Pink - Applicant', Tag - Bldg. Insp,
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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^^ m
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0
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
t
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Permit No. - -
Date