HomeMy WebLinkAbout500 Louise Ln - Permits/Furnace - 10/22/1986City ®f " F®&t 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.
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Job Address
Name \! _3 .. ?
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Mail Address } ? f }
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Phone 2.1,- rI -v/.__
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Name
Address
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Lot Block Filing Number
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Subdivision
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PUD
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Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est. Total Cost '
(incluying 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
ordinances and state laws regulating building construction.
signed
— CLASSQF WORK —
New Alteration/`Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. meElec. Struct. Fire Prot.
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Occ. Gr. Type Const.
Use Zone
Use of Building
FloorArea Height
No. Stories I`f
Lot Area''. Z_ '
Frontage
Occ. load r
Occ. Change 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:
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Valuation f FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
-Total-Fees - -. \ r-i
Disvffi. mn. Onglnal - AppllcanL'BNa - OHke; canary- Sales TaxtPpplicanr. Tag eldq In
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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ZBACase#
Date
BBACase# r �'
Date
Building Insp. %% t Approval
by 'date
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Permit No.
I Date