HomeMy WebLinkAbout440 Circle Dr - Permits/Reroof - 09/18/1986Ci
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 Atldress q14 i'/R,.nf
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Name
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Mail Address!-
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Phone
Name
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Aderess
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License No. ` ("y"
Phone ;3, aj
Lot
Block
Filing Number
n
1
N
Subdivision
PUD
m
Parcel
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DESCRIPTION OF WORK
Stock I Options
Plan No Codes
%�
42 3e'
Est. Total Cost
(including labor, material, protit)
i
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.
Isigned tl e
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ El ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use;Zone_-
Use of Building r 1N l ! /
Floor Area t
1 _
HFight
No. Stories k [
Lot �Fea - I
Frontage
Occ. loadr / '.
C h
Occ Change from,- Jr
Plat File�fNar o.} � r'�'`
(N9:1D`U.�"f
Garage area L. _ ,%
(Fin. Bsmt. area
Type heat % t
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
i rJ
Valuation FEES -
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Tota ees
Distribution: Onginal - AppllcanC BI e� O�Ice, Canary'- Sales Tax. Pink - Applicant;- Tag'- Bldg. InspN,—
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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2
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Street
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-� i1_31?0 ''1' J 1
ZBA Case # Date
BBA Case # Date
Building Insp. [ "pproval
C- Permit No. �'�.�
Date
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