HomeMy WebLinkAbout5801 Ballina Ct - Permits/Footing and Foundation - 09/20/19841f .l'I
City
of Fort 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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b Address 5,ffC9 r
Name a
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Mail Address
' Phone��-
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Name n
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Address
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License No. Phone
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Lot Block Filing Number
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DESCRIPTION OF WORK
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Plan No. Codes
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Es[.
T tal Cost
tinclu ing labor, material, rofit) '~
I ere byacknowledge that I have read this application and
state t at the above is correct and agree to comply with all city
ordin nces and state laws regulating building construction.
— CLASS OF WORK —
ew Alteration Addition Demolish Move
❑ ❑ ❑ ❑
ribg. Mach. Elea Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. At ' Type Const.lV`Y"' Use Zonej'f
Use of Building .4 fZ_
Floor Area ZI 60 Height
No. Stories Lot Area �;j Frontage
Occ. bad Occ. Change from
Plat File No. No. D.U.
Garage area 4V
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves'
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation �` (St`.% FEES
Plan Check'
Permit,-�}
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Undergrountl
Total, Fees
Off -Street Parking
nyf
.
(No. Cars)
Interior Lot
Corner Lot
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❑
Reversed Corner Lot ❑
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PROTS 13.61
TAXP11 12.59
TOTL 761.1'
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
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Pertmit o.— ,
Date
o1stnLyoir' Gnq,6a1 - Apphcdti:relue �011icel Canary 2Saies Tax. Pmk - Apph,a.t Tag - Bldg. Insp. ` �.,��✓ """`�