HomeMy WebLinkAbout710 Eastdale Dr - Permits/Reroof - 12/12/1986ty 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.
Job Address — 10 6-t s irt/t /c Ot--,
Name
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Mail Address
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Phone .-,'^:,•F
Name
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Address
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License No. �.%— j �'
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Phone ' � � � 466
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Lot
Block
Filing Number
Subdivision
PLO
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Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No. Code
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Est. Total Cost �`
(including labor, material, profit)
1.
I hereby acknowledge that I have read this application and
slate that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
signed / ,�•J� �,.� date
4,
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building k
FloorArea 1 j 1 !
Height
No. Stories rr•!
Lot Area .f' ,,
Frontage
Occ. load
Occ. Change from
Plat File No. I
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 ❑
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Street
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ZBA Case # Date
BBA Case # j Date
Building Insp. ` f! /, ( Approval
by�•':'6 date
)
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C�Permit No. \
Date f
Distribution:Original - Applicant, Iue�Office, Canary -Sal`Tax, Pink --Applicant, `Bldg-lnsp.