HomeMy WebLinkAbout3500 Carlton Ave - Applications/Multi Family New - 01/19/1989City of Fort Collins
DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 Fort Collins, CO 80522-0580 Phone: 221-6760
BUILDING PERMIT APPLICATION
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Application Number
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Last
First Middle
Phone
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Street Address
City State
Zip Code
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Li S G I1 A�'S _
Company Name
License Number Sales Tax Number
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Mailing Address
City State
Zip Code
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Phone
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Permit Type
Work Type —Category Type
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Proposed Use of Building
Permit Level
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Inspection Area
DDA Boundary
Value of Construction (including labor, material, profit)
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Subdivision
Planned Unit Development
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Filing Number ./
Lot Block Lot Size
Parcel Number
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Type of C1`onstruction
Fire Sprinklers Occupancy Group
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Building Sq. Footage
Number of Stories Building Height
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Number of Dwelling Units
Number of Bedrooms
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1'
Stock Plan Number
Options
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Water Tap Size3
Sewer Tap Size Metered/Flat Rate J
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Type of Heat:
`4 Gas ❑ Electric ❑ Heat Pump ❑ Baseboard ❑ Radiant ❑ Other:
Description of Work: '14
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FOOTHILLS BASIN
510-46767 3,600 SQ. FT.
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FLOODPLAIN YES
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"O Runoff = 0.48 PER ACRE _
$5,024
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Detention = 0.25 FEE _
$49.82
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he Storm D ge Basin Fee at be paid prior to the issuance of a Certificate of Occupancy.
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AMP Fault rrent
Secondary Designation Signature
Date
T/M
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with
m all requirements contained herein and city ordinances and state laws regulating building construction.
Signature /-!---.w'%�._.-?.c /G Date
Distribution: Original -Applicant; Blue -Office; Gold - Stormwater Utility; Pink - L & P; Yellow -Water Utilities
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