HomeMy WebLinkAbout5807 Ballina Ct - Permits/Single Family New - 09/19/1984City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form unit'.
Press firmly using ball point pen. -
Job Address
Name
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Mail Address
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Phone #I Lei
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Name
Address
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License No. 12
Phone
Lot
Block Filing Number
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PUD
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DESCRIPTION OF WORK
Stock Options
Plan No, Codes
Est. Total Cost S_
(including labor, materja , pro I)
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 —
N�ey Alteration Addition Demolish. Move
F ❑ ❑ ❑ ❑
Plb Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const. Use Zone
Use of Buildingfna
Floor Area
Height
No. Stories
Lot Area _
Frontage K.
Occ. load
Occ. Change from
Plat File No. ai)Y'
No. D.U.
Garage area
Fin. Bsmt. area _00j—
Type heat /. C
No. Fireplaces or stoves
— RELEASES — Dates
Zoning h % J12I /1 6 y
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check ,_.,.�
f� , ,•�,i',"
Permit
Parkland
City Sales Tax
St. Oversizing 4
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Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
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Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot
Reversed Corner Lot �r=
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Street _ `20 V1- t
PRMTS 382.05
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STDUR
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SEP.19'84
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ZBA Case # Date
B BA Case 9 Date
Building Insp. Approval
by / _ ( date
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Permit No
Date' s
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