HomeMy WebLinkAbout720 Cheyenne Dr - Permits/Reroof - 08/20/1986. r.=r ". --.vi.s�> --- •�..:r-. K,.,.�nc•as-.-�,..:ir zr-• �< --_ ...'�:-r,..-u.-:;- :a.�-F. ".. ,, -'� �Lr _.. �'"--a---3..:- x �vrt X "` �-�`�>k✓'r--'^.--y"'�^ — �,._�..::r-r�::•ti� fi.. _ _ __
City of Fort Collins `+ ,.. •:� .;�.�..± .���. : � . _z .
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 oz
Name .
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Mail Address
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Phone
Name r
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Address t x
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License No.
Phone
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a
Lot
Block
Filing Number
Subdivision
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CC
PUD
Parcel #
DESCRIPTION OF WORK
tim -is .T
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Stock Options
Plan No. ' Codes
Est: Total Cost d
(including labor, material, profit)
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
Distribution: Original -Applicant;-Blue--Office; Canary -Sales Tax;`Pink - Appli cantTag -..Bldg. Insp. �'•�,,-
— CLASS OF WORK —
New Alteration,�`Addition Demolish Move
❑ ❑✓ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area s F ;o Ftage
Occ. load '
Occ.Cliange.f {om
Plat File No �: 1'w ..
No, DU.
Garage area €
Fin 8srht. 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 r
Permit
4 yf
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
-,Total Fees Z, r--\ t,
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 # �t
Date
Building Insp. Approval
by date
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Permit No. -
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