HomeMy WebLinkAbout3406 Colony Dr - Permits/Footing and Foundation - 06/12/1989try ' 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 Addressl4itelnloyu4/
Name
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Mail Address
O
Phone
Name
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Address
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License No.
Phone
Contractor Sales Tax No.
0
°
Lot
Block 3
Filing Number
Subdivision RiJ h, IIf Ar
m
POD
vParcel
#
DESCRIPTION OF WORK
GLfl41 �
Stock Options �.
Plank Codes
Est. Total Cost
(including labor, material, pr fiq
I hereby acknowledge that I have read this application and
state that [ above is correct and agree to comply with all city
3rdmanc state is regulating building construction.
signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. 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
V
City Sales Tax
St. Oversizing
0
Water Plant Investment
0
Sewer Plant Investment
00 •00
Storm Drainage
Y �+ Or I?J live -
Electric Underground
Total Fees
C
Off -Street Parking
"
(No.
Cars)
Interior Lot
❑
COrnerlLOt
❑
Reversed Corner Lot
❑
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Street
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Case# NC3367 n7:r^
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DateV
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Building Insp. fir w i2' crApproval
, 'date
by
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Permit No.
Date
Distribution: Original - Applicaul: Blue- Olhce, Canary - Sales Tan: Pmk - AppheanC Tag - Bldg Insp.