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HomeMy WebLinkAbout3312 Birmingham Dr - Permits/Single Family New - 06/23/1983• U ty of``�Fort�Collins -BUILDING INSPECTION DIVISION w � APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Applicant complete this part of form only. Press firmly using ball point pen. Job Address 4419 Mii;im nohm nr Name ` ri-Trend Xnc Mail Address 1800 Heat Baraetooth 3 O Port rallies Colorado 80526 Phone 223-5050 Name Roger StraiI Address 1800 beat Horaetoot6 o Fort Collins, Colorado 80526 O License No. D-12 Phone 223-5050 Q Lot 5 Block Filing Numbed b Subdivision 8osaboroo gh PUD d J DESCRIPTION OF WORK Single Family Dy®lling tick Stock Options // —� Codes Est. Total Cost '�'f r `- (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. � a - signed date — CLASS OF WORK - New Alteration Addition Demolish Move ❑ ❑ ❑ ❑ ❑ Plbg. Mel Elec. St uct. Fire Prot. '❑- �❑ ❑ ❑ Occ. Gr. fZ - ; Type Const. V- )v/ Use Zone Use of Building j Floor Area Gf at'J Height No. Stories Lot Area�V Frontagep.o Occ. load Occ. Change from Plat File No. i ! �` -.. 1 No. D.U. Garage area C4 j Fin. Berm. area 14 aN C Type heat A No. Fireplaces or stoves (-7 — RELEASES — Dates /, Zoning �-�C, (f, L J� Engineering U Fire Department Electric Department Water & Sewer Plan Review Special Conditions: Valuation FEES Plan Check .,2 Permit • 3 O Parkland j U • L>O City Sales Tax St. Oversizing 44 (• O 0 Water Plant Investment 1 3-30• ;2 2 Sewer Plant Investment 0. Od Storm Drainage .3Electric _ Underground AW01) OoO i. 10 Off -Street Parking (No. Cars) Interior Lot �O Corner Lot ' a Reversed Corner Lot ❑ i\ lrr ti \ _I < zj 0 lL {,fin , Street ,—"I-9't... <. G;�%6.,-.,' ZL. _' Y. ;e <Y +�S C O .4 9 BA Case # Date B BA Case # Date Building Insp Approval by date %J 13� L(DatePi_ 2 l Distribution'briginaf - Applicant; Blue -Office; Canary -Sales Tax; Pink -Applicant Tag - Btd, Ins, .� 1