HomeMy WebLinkAbout4550 Larkbunting Dr - Permits/New Commercial - 06/07/1983of `Fort 'Collins . BUILDING INSPECTION DIVISION
YPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant
complete this part of form only.
Press firmly using ball point pen.
Job Address
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Name Xt
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Mail Address
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Phone Z{j
Name
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Address
11-?e,
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License
No. (J�• - j
Phone �� � ..Z�uY.a
Lot
Block
Filing Number
n
Subdivision
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PUD
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DESCRIPTION OF WORK
Stock
Plan No.
Est. Total Cost
(including labor,
Options
Codes
ss
90OC+p
material, profit)
I hereby
state that the
ordinanyc�es
acknowledge that I have read this application and
above is correct and agree to comply with all city
and state laws regulating building construction.
3 gne
date.
- CLASS OF WORK -
New Alteration Addition Demolish Move
❑ ❑ ❑, ❑ ❑
Plbg. ech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr -
Type Const.
r❑�
Use Zone Y
Use of Building
Floor Area 2Qj 7 5:
Height �2 >h
No. Stories Lot Area`7" t{..3 t4;€
rontage�r r
Occ. load/ 98 Occ. Change from
Plat File No!SQ3
No. D.U.
Garage area
Fin. Bsmt. area
Type heat ic� rQ ry
No. Fireplaces or stoves
RE/LEASES — Dates
/—
Zoning 6k t1 1 ..tee I l'' = tj �L_
Engineering fy
Fire Department ZIP 5 2>
Electric Department
Water & Sewer
Plan Review
Special Conditions:
H
Valuation 4 . QOO FEES
Plan Check -lei
; . q:jw
Permit
411C A-5'•
Parkland
City Sales Tax •
t7 Ld $•O
St. Oversizing
DO•Gt�
Water Plant Investment
V
Sewer Plant Investment
. ;f ,$"(o Ob
Storm Drainage
^'y • -?O
_
Electric Underground
Total Fees
I� • OS
..:J l , L. L. "
't
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
}D
�T
Reversed Corner Lot
❑
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ZBACase#
Date
BRA Case #
Date
Byiltling Insp. Approval r
.tip f�J date lk
�0/zA3
Permit No.
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Distribution 4-plicant Blue - Office;Canary - Sales Tax;Pink - Applicant; Tag - Bldg. lose. ^