HomeMy WebLinkAbout5763 Ballina Ct - Permits/Single Family New - 09/24/1984City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Ap hcan complete This part of form only,
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Job Address t
Name
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Phone
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License No. Phone
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Lot
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Subdivision
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DESCRIPTION OF WORK
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Stock Options
Plan No.—� Codes
Est. TotalI Cost y`' �i� Q�k OG
(including labor, material{proht)
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.
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— CLASS OF WORK —
e Alteration Addition Demolish Move
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Plbg. Mech. Else. Struct. Fire Prot.
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Occ. Gr,
Type Const.It
Use Zone
Use of Building
Floor Area q4D rIlHeight !
Sj�No',Stories
.Lot Area
Frontage
Occ. load
Dec. Change from
Plat File No. Ll fT1
No. D.U.
Garage area .qC>O
Fin. Bsmt. area —B—
Type heat C, r-A
No. Fireplaces or stoves
— RELEASES — Dates
Zoning � ' / P.J y . Ov . y
Engineering
Fire Department ..
Electric Department
Water & Sewer
Plan Review
Special Conditions:
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Valuation 4. 1` FEES
Plan Check Jj C,i
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Permit,
Parkland
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City Sales Tax
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St. Oversizing
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Water Plant Investment
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Sewer Plant Investment
Storm Drainage
Electric Underground
Tothl Fees
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Off -Street Parking oC
(No. Cars)
Interior Lot O
Corner Lot ❑
Reversed Corner Lot ❑
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