HomeMy WebLinkAbout3507 Colony Dr - Permits/Single Family New - 09/16/1985City 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;?
Mail Address 1m7 t L y Fes,
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f Phone
Name
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Address € .
License No. f #,
Phone . ? #., fj I
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Lot
Block"
Filing Number
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Subdivisionz r ♦ irs -Y:.; ii�.? 4".:_
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PUD
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DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost }' } —} i ,i
(including labor, mate°rial)pr'ofit)
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.
signet date
— CLASS OF WORK —
New Alteration Addition Demolish Move
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ !/ ❑ ❑
Occ. Gr. r
Type Const. Use Zone + �'
Use of Building wy�
FloorArea?,
Height
No. Stories
Lot Area
Frontage c,( 2
Occ. load
Occ. Change from
Plat File No. '
No. D.U.
Garage area 4 )�
Fin. Bsmt. area
Type heat �"f.
No. Fireplaces'or stoves
— RELEASES — Dates
Zoning r) t !4 .� r�3
Engineering e
Fire Department
Electric Department
Water & Sewer
♦ i
Plan Review
Special Conditions:
t.
s"•.
Valuation FEES
Plan Check Vie• ...wr
" _:a l T s,�'`....a»E''± .,
Permit
Parkland
fi
City Sales Taxes"
St. Oversizing
Water Plant Investment
`
Sewer Plant Investment
! ,,
Storm Drainage
Electric Underground
Totaf Fees
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Off -Street Parking
(No. Cars)
Interior Lot or
Corner Lot ❑
Reversed Corner Lot ❑
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Street I" FE: 61'25 4 t1t
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ZBA Case # Date,
BBA Case # Date
Building Insp. r`+ Approval
by-t date
cPermmit.No.-
Date
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Distribution: Original - Applicarit;`Blue = Vice; Canary __sales Tax�Pm ' Applicant; Tag - Bldg.`lnsp. t� - ` "--„• �^•-._, `; ,,, z