HomeMy WebLinkAbout5757 Ballina Ct - Permits/Single Family New - 02/28/1985e.tis-.:"t...-w'.s-«..-.-....�+^.n.�^M+c�'>rw..r+-"'-"^'.,•'. j>..� ..,-v.ir-�: -.,ns- ..-�....z....x.n.-.>..... .... � i„a
of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCYZ
Applicant complete this part of form only.
Press firmly using ball point pen.
Job
Address �L i rC
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Phoney
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Address
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icense No. ry �. � Z
Phone f
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[,of Block
Filing Number
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DESCRIPTION OF WORK
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Est
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No. Codes
Total Cost 41"-) e70—c
luding labor, material, profit)
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or
I hereby acknowledge that I have read this application and
to that the above is correct and agree to comply with all city
inances and state laws regulating building construction.
' �sf�ned date
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- CLASS OF WORK -
New Alteration Addition Demolish Move
❑r ❑ ❑ ❑ ❑
Plbg. Mech. Elea Struct Fire Prot.
a. El- ❑ ❑ . ❑
Occ. Gr. Type Const . „�
I Use Zone 'R Z_v
Use of Building 5
Floor Area
No. Stories I Z
Lot Area I t, _)kg
I Frontages
Occ. load
Occ. Change from
Plat File No. (�".,
No. D.U.
Garage area -4,
Fin. Bsmt. ar6a —�,y—
Type heatA
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review (7f,. (Jll >
Special Conditions:
Valuation FEES
Plan Check
Permit
Parklandy
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City Sales Tax
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G 0. 0
St. Oversizing d
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Water Plant Investment
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Sewer Plant Investment
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Storm Drainage
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Electric Underground
T tal Fees( 11,4
D'atriputinn Obg,ral - Applicants'. Blue `Office: Canary Agrr Ta.. Fink - Applicant: Tag Bldg. Insp.
B
i ee. o V
Off -Street Parking
(No. Cars)
Interior Lot S.
Corner Lot ❑
Reversed Corner Lot ❑
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Street -� "•.%..•. F'�.n.u.vn.n, t..`.,n.ss,�--
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9 PKIIT8 3^1.70
>" PLNIC't 625.00
TAXrM 550.00
5z'OVRk _49, 00
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ZBA Case# N94320 OB-36 A Date_
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BBA Case # Da to
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Building Insp. % Approval
by [[//'' date
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Permit No.
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