HomeMy WebLinkAbout1400 Sioux Blvd - Permits - 08/21/1984City. of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERhUT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 140U Sioux 61vd.
Name Melody aoraes
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Mail Address 11031 Sheridan a vd.
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Westminster, ed
Phone 466-1631
Name Melody Construction Co.
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suie as above
Address
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License No. Lt 35
Phone
Lot
Block j
Filing Number 2
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Subdivision +a9on w1hee
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PUD
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DESCRIPTION OF WORK
�'ldn i;15
Stock Options f,
Plan No. 1 E1 Codes
Est. Total Cost
(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 a(I city
':YwiIVnces aqd state laws regulating b Iding con trucjion.
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1 17
signed_ \ _I_ td11e
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
_
PIbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area (off �(?
Frontage ,(-)
E
Occ. load
Occ. Change from
Plat File No. t f , i
No. D.U. /
Garage area
Fin. Bsmt. area
Type heat 3
No. Fireplaces or stoves
— RELEASES — Dates
Zoning C /` j)/3
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
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Parkland
City Sales Tax
_
r
St. Oversizing
Water Plant Investment
Sewer Plant Investment
_
Storm Drainage
Electric nd Uerground
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Disinbubon Drlgin.pr Applic nr. Blle - Office( Canary `Sales Tax. Pink - Appincanr. Tag - Bltlg. Insp.
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Off -Street Parking
(No. Cars)
Interior Lot
Corner Lot
❑
Reversed Corner Lot
El,^
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Cti
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Street
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ZBA Case #
Date
BBA Case #
Date
Building l7pp, 3
b dAapperoval
Permit No.
Date