HomeMy WebLinkAbout612 Locust Grove Dr - Permits/Single Family New - 12/01/1988City ®f 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.
Job Address rA
Name l.rr" r "
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Mail Address y i
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Phone _ US-r
Name
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Address a L) iu i� r
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License No.
Phone Z4
Contractor Sales Tax No.
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Lot
Block
Filing Number
Subdivision Loctiii &mp 3,d r:
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PUD —
Parcel
DESCRIPTION OF WORK
H tV 1
Q
Stock Options
Plan No. Codes
Est. Total Cost i
(including labm or, aterial, rofit)
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.
—� y1 signed date
e
— CLASS OF WORK —
Nelv Alteration Addition Demolish Move
Cl ❑ ❑ ❑
Plbg. Mel Elec. Struct. Fire Prot.
❑ ❑ El❑ ElOcc.
Gr.
Type Const.
Use Zone
Use of Building
Floor Area Q6 6
Height lJ/
No. Stories
Lot Area y tad
I Frontage 1 F
Occ. load
Occ. Change from
Plat File No. "—ya
No. D.U.
Garage area 198
Fin. Bsmt. area
Type heat y
No. Fireplaces or stoves
— RELEASES — Dates
Zoning ) le
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
73 2.
Parkland
City Sales Tax
L -2 . tj
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
i
(No. Cars)
Interior Lot
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Corner Lot
❑
Reversed Corner Lot ❑
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
30193
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Permit No.
Date
Distribution: Original - Applicant Blue - office, Canary - Sales Tax: Pink - Applicant, Tag - Bldg. Insp.
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BUILDING INSPECTION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name
m
c
Mail Address
3
D
Phone e f ,� r� _ •;• t� ti S
Name
o
Address ;
as
-
O
O
r
License No.
Phone t_. c41,t—
Contractor Sales Tax No.
C
°
Lot
Block
Filing Number ?
Subdivision' i .. :7 rt r }
O
m
PUD
r
3
Parcel # •y �) 1 e, �r � � �
DESCRIPTION OF WORK
Stock Options
Plan No. Codes J
Est. Total Cost
lincluding labor, material, rofit)
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.
signed - date
— CLASS OF WORK —
New Alteration Addition Demolish Move
0 ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. -
Type Const.
Use Zone
Use of Building I_
Floor Area ? 'r
Height
No. Stories
Lot Area L) -'b
I Frontage 7, py
Ore. load
Dec. Change from
Plat File No. --_i
No. D.U.
Garage area
Fin. Bsmt. area
Type heat In- r..
No. Fireplaces or stoves
— RELEASES — Dates
Zoning .-). i1 I ' .i ' : i
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
_ ^,
Parkland
City Sales Tax
f
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
. ->
IDistributionOrig inal-APPLcant?alue.-Oil a:Canary-Sales-T.ax. Pius Applicant. Tag Bldg Insp.
Off -Street Parking
i
(No. Cars)
Interior Lot
Is'
Corner Lot
❑
Reversed Corner Lot ❑
0
m
`m
_'v
Iql
tq,
a1
1
v
o
'J LL
Street
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ZBA
Case #
Date
BEA
Case #
Date
Building Insp. Approval
by
date
r
y
Permit No.
Date