HomeMy WebLinkAbout4518 Bluefin Ct - Permits/Reroof - 09/18/1986City 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 �99yy//������tl .^�•
Name
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Phone -.! -1 fit q zi
Name!`/r'.r ,-..sr7 r r�.�', �!>' ,/'% /'.�5✓P __.r.
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Address •� )
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License No.
Phone /Y
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Lot
Block
Filing Number
.o
Subdivision
PUD
O
Parcel If
DESCRIPTION OF WORK
7
J
rt
l
Stock Options
Plan No. Codes
EstliTotal Cost
(including labor, material, profit)
I hereby acknowledge that I have read this application and
stats that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
signed ,' --���' — date (,'<
—,CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elea Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building:
Floor Area I
Height t
No. Stories 1. •'
•Lo! Area, r
frontage
Occ.1load ,
Oce�Change from f
Plat File No. � t
t.
No. D.U.• ��
Garage area ws'
,F>in: Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
•Y
ValuationFEES
Plan Check
Permit
_
'"•• _ _
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees\ r-
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
_ro
i
d
( 1
( 1
d
1D
in
�
in
`c
0
LL
�J
Street
1.
ZBA Case#
Date
BEA Case#
Date
' ,
Building Insp.
Approval
by
"'�P rmit.t�o.`�
�� Date
DislribW1.i,: driginal - Applicanl: alue;�flice; Canary'- Sates Tax: Pink -Applicant; Tag - eltlg: Insp: 1 '