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HomeMy WebLinkAbout625 Bear Creek Dr - Permits/Single Family New - 01/23/1989City otFort 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 ZJ ..Yti Name cc Mail Add es D � 3 O 2 �✓ ) �, nPhone Name V �C�t-- g U Address Arid 53 U License No, 0 Phone Contractor S les Tax No. c ° Lot Block iling Number a Subdivision ILL, W O A PUD m � Parcel # DESCRIPTION OF WORK Stock �a Options Plan No. Codes —Oo Est Total Cost (including labor, material, profit) I hereby acknowledge that I have read this application and bov is cc and agree to comply with all city d s r ulating buildin construction. 31g date — CLASS OF WORK — New Alteration Addition Demolish Move ❑ ❑ ❑ ❑ ❑ Plbg. Mach. Elea Struct. Fire Prot. ❑ ❑ ❑ ❑ ❑ Occ. Gr. Type Const. Use Zone Use of Building Floor Area Height No. Stories Lot Area Frontage Occ. load Occ. Change from Plat File No. No. D.U. Garage area Fin. Bsmt, area Type heat No. Fireplaces or stoves — RELEASES — Dates Zoning Engineering Fire Department Electric Department Water & Sewer Plan Review Special Conditions: Valuation FEES Plan Check Permit Parkland City Sales Tax St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground Total Fees Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ e Im m m 'm N d U 9 in a m 0 JLL Street ,✓ Tr1Tf 7n ri f", C�CIS 31 N20535 14s28 A JAN. 24' 89 0 ZBA Case # Date B BA Case # Date Building Insp. Approval by date 050%gz5 I I /�318 Permit No. Date OC Distribution: fj iginal - Applicant: Blue - Office: !anary - Sales Tax: Pink - Applicant: Tag - Bldg. Ins, .... . �e ,c "Collin�?»-:...� �.�,.; rrrr•'$�..�-�a,...sr-Srr..a1�-.rrr.-,,,. .;�5�::,_. -.��-y Cify of Fort s' "BUILDING INSPECTION DIVISION APPLICATION FOR BUILDING PERWT AND CERTIFICATE OF OCCUPANCY Applicant complete this part of form only. Press firmly using ball point pen. Job Address (,n? �st- -b`K Name `m Mail Address �� I C,tjr! e`t "I�Du 3 I Phone .) i _2j1r.,r fip Name C.�/'�l /l al ✓::Jl a Address t(_f 1 rl ��f•,'t'�f 7 r - L rU yft� , r iI f •lJ ii rj U License No. '�, i" phoner Contractor Sales Tax No. P Lot / Block ,Filing Number a Subdivision t ull L N.t, f lALI m PUD Parcel# DESCRIPTION OF WORK A Stock -7 � Options f � Plan No. - Codes Est, Total Cost iincluding labor, material, profit) I hereby acknowledge that I have read this application and state that the above is correcLand agree to comply with all city ordinances and state'laws regulating building construction. f-sigrjetl . - CLASS OF WORK — New Alteration Addition Demolish Move ❑ ❑ ❑ ❑ ❑ Plbg. Mech. Elec. Struct. Fire Prot. ❑ ❑ ❑ ❑ ❑ Occ. Gr. Type Const. Use Zone Use of Building FloorArea Height No. Stories Lot Area Frontage Occ. load Occ. Change from Plat File No. No. D.U. Garage area Fin. Bsmt. area Type heat No. Fireplaces or stoves — RELEASES — Dates Zoning Engineering Fire Department Electric Department Water & Sewer Plan Review Special Conditions: • Valuation FEES Plan Check Permit ' it P_ Parkland City Sales Tax St, Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground .Total Fees ' T .._ _ • r-,. . -, ram- 1 Distribution. Oiiginal - ApPlicantr&uel-�Ot�ic Canary -Sales Tax` Pink - Applicant: Tag - 0g. Insp. Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ `m m r� 0 `JLL Street T': rr ^F71 - „I 1Ic 0 D ZBA Case k Date BBA Case N Date Building Insp. Approval by date Permit No. Date