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City 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 4201 Golden a Dr. -.
Name Pulte Home Corn
c
Mail Address 15150 E. I1iff ftve
3
0
Aurora Coto 80014
Phone 751-3700
Name Awr9,can_8ui ldem /? E�7tlLF�
mo
f
Address 41-54-�anarer-St.t ^/VC` r
o'
O
License No. DnW
Phone 4 :.Wd "47 4gt3
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Lot 1
Block 4 Filing Number 1
s
Subdivision Larkborough
PUD
J
DESCRIPTION OF WORK
Pl !1 23,885
[F. 2 tar garage 1,121
0. Full fin lover level 2,696
F. Rear cant 270
S. Patio dr 170
M. luxury vanity package 137
U. Stained woodwork 409
R, Elevation 0, 164
J. Brick front 247
Stock .t Options
Plan No. Codes Q913eFo$n11alloRa4
Est, Total Cost 29099
(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
ordinancesand state laws regulating building construction14
signed rt( Tdate� .."1
e
— CLASS OF WORK —
Nel Alteration k Addition Demolish Move
❑ ❑ .❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
Eo— 2❑ 7� EI— ❑_
p
Occ. Gr. K� , S Type Const. V/V I Use Zone A9,
Use of Building G, !- K
Floor Area ! °% 1
Height
No. Stories ' t
Lot Area Z_�- V K- f Frontage 4; 7 5
Occ. load
Occ. Change from
Plat File No. .`"a f� —`
No. D.U. I
Garage area t-J :
Fin. Bsmt. area 0
Type heat f" t�>a_
No. Fireplaces or stoves (�
— RELEASES — Dates
Zoning L.. /
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
7 ?
Parkland
J
City Sales Tax
St. Oversizing v
+ 1
Water Plant Investment
/ 7
Sewer Plant Investment
Storm Drainage _
Electric Underground
`! K U f,
z
Total Fees•
Off -Street Parking
-
r
(No. Cars)
Interior Lot
❑
t
Corner Lot
Reversed Corner Lot
❑
t
D
N
Y
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Street r'z24-/ni
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ZBA Case N
Date
BBACase# _ _
Date
Building Insp. 1/
J' date
by/ f
Permit No.
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Date
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DrslribuLgina) - Applica*t, nlii¢ HI& Canary - Sales Tax, Pmk - Applkanl; Tag - 91ag. Insp.