HomeMy WebLinkAbout4219 Cape Cod Cir - Permits/Single Family New - 10/04/1985City 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.
b Address
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Mail Address
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Address.,-:7"f.r.-f/�y1rl�.ir�r
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License No:�'`
Phone` f2%f1
Lott C
Block' �r Filing Number 15i
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Subldivision �1 % �r�,,,,.y,,fp
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PUD
DESCRIPTION OF WORK
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t
Stock
Plan No.
11
, -2 '2 { Options
"' Codes Y 7
Est. Tot
(including
/
II Cost '"t^ r c
labor, material, profit)
l 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,
v `
signo6' � 'date
— CLASS OF WORK —
New Alteration Addition Demolish Move
'6W ❑ ❑ ❑ ❑
Prb Meh. Elec. Stru t. Fire Prot.
Occ. Gr._ Type Consty/
Use Zone
Use of Building �_,,�.�, '
Floor Area / �7 _ Height
No. Stories 9
LotrArea
Frontage
Occ. load ..�
Occ. Changer from
Plat File No. �}
No. D.U.
Garage area
Fin. Bsmt. area
/6-�jljj
Type heat 4,
No. Fireplaces or stoves
— RELEASES — Dates
Zoning U 9 '%//?-"' a%
<,.
Engineering G
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation _ FEES --
Plan Check ""'{, '1
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
-
Storm Drainage
_
Electric Underground
Total Fees
(Distribution: original - Applicant: Blue - Office: Canary - Sales Tax: Pink - AppllcanL Tag - Bldg. Insp.
i
`-/4
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%
Off -Street Parking
f
(No. Cars)
Interior Lot
Corner Lot
Reversed Corner Lot
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ZBA Case #
Date
BBACase# f
Date
Building Insp.
proval
by date
Permit No.
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