HomeMy WebLinkAbout600 Lupine Dr - Permits/Sprinkler - 08/08/1984ty of Font Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part or form only.
Press firmly using ball point pen.
Job Address „
Name
Mail Address ., �.� f'r /. ;
Phone
Name
o`
Address�-
c
0
License No. Sin.
4
Lot
Block
Filing Number
Subdivision
PUD
J
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est.Total Cosi 'fir ref [1
including labor, material, profit)
1 hereby acknowledge that 1 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.
-_
signed Cdate c
— CLASS OF WORK —
Nefv Alteration Addition Demolish
❑ ❑ ❑
Move
❑
b Mach. Elec. Struct.
❑ ❑ ❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Height
Lot Area
Frontage
Occ. Change from
=areaFin.
.
No. D.U.
a
Fin. Bsmt. areallo.
Fireplaces or stoves
— RELEASES —
Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
valuation`:
FEES
Plan Check Permit j ,;o
Parkland."t,r
City Sales Tax
St. Oversizing
d
r +'
Water Plant Investment
_
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
_
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑ `
Reversed Corner Lot ❑
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in
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Street
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Four, lay, • ^=,
0
ZBA Case t
Date
BBA Case If
Date
Building Insp.. ; ' Approval
by
-arAe h date
Permit Nv. ` `
FDAte
D,.I,,h.l.n 0n9mai - Applicant, Blue - Office. Canary - sales Tax. Pink - Applicant. Tag - Bldg. Insp.
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