HomeMy WebLinkAbout4231 Beaver Creek Dr - Permits/Sprinkler - 09/26/1988ity
of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly us' g ball po t pe
b Address
Name
Mail Addres
Phone
Name
$
Address o
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License No,
Phone
Contractor Sales Tax No.
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Lot Block
Filing Number
Subdivision �)
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PUD
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Parcel #
DESCRIPTION OF WORK
Sic
Pla
k Options''`-
No. Codes
Est.
tint
uding labor, material, profit)
stat
ordinances
�I hereby acknowledge that I have read this application and
that the above is cor ct and agr comply with all city
an state I s regulati wilding construction,
signed date
— CLASS OF WORK —
New Alteration Addition Demolish
❑ ❑ ❑ ❑
Move
❑
Plbg. Mach. Elec. - Struct.
❑ ❑ ❑ ❑
Fire Prot.
❑
Occ. Gr. Type Co st.
Use Zone
Use of Building
Floor Area Height
No. Stories t Are
Frontage
Occ. load O nge from
Plat File No.
No. 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
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage,
Electric Underground
Total Fees
Off -Street Parking
INo. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by
date
Permit No.
Date
.8n
Disbib t..:Original - Applicant BWe- Otiice Canary - Sales T..:.Pink-Applicant'. Tag - Bldg. Insp.
ty of Fort.
BUILDING INSPECTION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball poiRl pen.
'ffn.
JOB Address
Name ',i . X1.$.z. r -
c
Mail Address
r
Phone
Name ( .
c
U
Jf{i,^} {1' ,LC
Address I 4 Jt rjY 1
•Phone
U
}�
License No1.'vl/ Il f
(Contractor Sales Tax No.
n
Lot Block
'
Filing Number
Subdivision (,Lt!!aai � ,6L
o
UD r
arcel # Q f jai
DDE.�S-C•RIPTION OF WORK
AA1
Stock Options"
Plan No. ""` Codes
I -L , b,7 oft
•� I y �
Est. Total Cost 7 '� 4> l Lan rr
(incltl ding 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
ordi Dances and/state laws regulating building construction.,
1,
' signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Else. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Cor st. Use Zone
Use of Building Jr'
Height
,'i
l.dt Are
Frontage
Et
OccrCh nge from
No. D.U.
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
nislrlbut6 prigtnel-AppllceM7Blue Ofrc(•: canary.,' eles4a.`A�r�Trcam:g, awe: '-OF
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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m
cc
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t I
N
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Y
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JLL
Street
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ZBA Case#
r Date
BEA Case —
Date
Building
Insp. Approval
by
date
Permit No.
Date