HomeMy WebLinkAbout3430 Camelot Dr - Permits/Reroof - 09/05/1986-
City ofFort 'Collins BUILDING INSPECTION DIVISION
IAPPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY,
Applicant complete this part of form only,
- Press firmly using ball point pen.
Pob Address '3 0 -
Name f'C/ Q£p
Mail Address 3a 1 '
Z
'0
Phone? _ L4 S`S"
Name-
0
15 m
Address
c
0
U
License No, f ..
Phone Ll,9D - 6 3 ,?
Lot
Block Filing Number
.a
Subdivision -
PUD
0-1
Parcel it CS 73,0 7 -- - -
DESCRIPTION OF WORK
7AAS
17 ALL
-
Stock -Options_
Plan No. 'Codes
Est Total Cost I
(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
or in nces and st s regulating building construction.
ig d to
— CLASS OF WORK —
New Alterat' Addition Demolish Move
❑ B ❑ ❑ ❑
Plbg. Mach. Elec. Struct.- Fire Prot.
❑ ❑ ❑ ❑ ❑
Type'Const. -
Use Zone -
Use of'Building S F R
Floor Area -
Height
No. Stories
Lot Area*
Frontage
Occ. load
ocird>9I
Plat File
o. D.U.
Garage -ar
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
City Sales Tax
St. Oversizing
'
Water Plant Investment
Sewer Plant Investment
Storm Drainage
.Electric Underground
- -
Total Fees
Off -Street Parking
_
- (No. Cars)
Interior Lot
. - ❑
Corner Lot
❑
'Reversed Corner Lot ❑
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m
li
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Street
a -
ZBA Case#
- Date
BBA Case #
Date
Building Insp.,
pproval
by date
P:C
Permit No.
Date
DistWoution'. original - Applicant: Blue - Office: Canary —Sales Tax: Pink - Applicant: Tag - Bldg J lnap.
Clty 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.
P ob Address 3 4/" j j A„_rt,p , f+,y
off
Name !g� (� h�ep.VF$
m
Mail Address
Phone
/i
Name _ f, ,=.�-f.•ieer.[,.:,_
0
m
License No. j> _ / }i
Phone Lyl D -- 0'3 �+ j
O
-
Lot Block
Filing Number
fi
Subdivision
PUD
Parcel # 81
DESCRIPTION OF WORK
114 P21S
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.
/`774
,I
signed C--_. Cdate� i \
— CLASS OF WORK —
New Alter h Addition Demolish Move
❑ Gil ❑ ❑ ❑
Plbg. Mach. , 'Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const, Use Zone
Use of Building S F R
FloorArea
Height
No. Stories
Lot Area
Frontage
Occ, load
Oec!_Chan" from
Plat File No, yNo
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
i-
-
Parkland
'.q�. ..
City Sales Tax✓t
%. •'
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total.F,ees-
Dist ribution'. On gi n al - Applicant BlueLOffice Canary Sales T.: Pmk- Applicant'. Teg-91rlg..lnsp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
m`
r
m
cc
vlo
V
I
N
9
_
C
0
Street
c
0.
T p7L
�'kBA Case #
Date
BBA Case #
Date
Building Insp>* .�.,"..*Approval
by ✓jj P! d
__Permit No.\ ,
-- Date