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HomeMy WebLinkAbout5424 Fairway Six Dr - Permits/Footing and Foundation - 01/17/1989y� Citry of 6V-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. Job Address 6424 Fairway Six Drive Name AlbrechtOttt nlInc. 0 Mail Address 483G S. College Ave.' Ft. Collins CO 80525 Phone 223-1494 Name Steve Dudle o Address 212 South Holblib ood Fort Collins CO 80521 U License No. A' 21 Phone 223-1494 Contractor Sales Tax No. 221100 0 a Lot 34 Block n/a I Filing Number Subdivision Fairway Five Estates, P.U.D. ca ca Puo Fairway Five Estates P.U.D. Parcel a 86063-29-034 DESCRIPTION OF WORK F & F ONLY F- Stock Options Plan No. Codes Est.TotalCost $1,000.00 (including 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 /an/nd �state laws regulating building construction. — sign date — CLASS OF WORK — Ny Alteration Addition Demolish Move ❑ ❑ ❑ ❑ PlyMech. Elec. Struct. - Fire Prot. of M UK 0 Occ. Gr. R-3 Type Const. VN Use Zone -rl use of Building SFR Floor Area 23 Height No. Stories 3 Lot Area 8 516 Frontage 61.70 Occ. load Occ. Change from Plat File No. 639-1-2 No. D.U. 1 Garage area - 468 R4P Bsmt. area 700 Type heat GFA No. Fireplaces or stoves 1 — RELEASES — Dates Zoning ^ Engineering - Fire Department Electric Department Water & Sewer Plan Review Special Conditions: Valuation FEES Plan Check Permit Q Parkland City Sales Tax St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground Total Fees Off -Street -Parking Interior Lot (No. Cars) Corner Lot ❑ Reversed Corner Lot ❑ � r - � o I� s�2 IV tt D' R1 Street TOIL 30.00 CASH`; 3 n20331 0E=44 A ° JAld,i7'89 0 A ZBA Case # Date BBA Case # Date Building Insp.. Approval by date f39D15( I1l17 8 Permit No. Date Distribution: Original - Appltcynt,, Blue` Office. Canary - Sales Tax', ,nk - Applicant Tag - Bldg. InsO- 1