HomeMy WebLinkAbout725 Larkbunting Dr - Permits/Single Family New - 04/11/1984City 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.J
Job Address �Jr.�{f%J•. �jlr'fl7/I9t Avx—
Name s=J�/.>
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Mail Address
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Phone
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Name
Address
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License No. �/ -�,
Phone iIrl-�-l�J�'"'j[�
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Lot
Block G
Filing Number
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Subdivision7.
PUD J
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DESCRIPTION OF WORK
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Stock Options �J ,r7
Plan No. ✓ ��- Codes of �'
Est. Total Cost . � "<'
jincluding 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.
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'signed t �� ,dale
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— CLASS OF WORK —
New Alteration Addition Demolish Move
1[7� ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Strucl. Fire Prot.
�0w eli, ❑
Occ. Gr. Type Const. d/
Use Zone 14�
Use of BuildingVA
Floor Area Height
No. Stories ,7
Lot Area 9�-30 rootage
Occ. load
Occ. Change from
1
Plat File No. �+ (� - �r
No. D.U.
Garage area �,r''!�+'�Zj
Fin. Baml••enea• }!,
Type heat , ff
No. Fireplaces or stoves
— RELEASES — Dates
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Zoning UiC F V q z
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check `> -7D
1. OV) _
Permit
J 7U, f `5
Parkland
5 9 0
City Sales Tax ..
Y 3 7
St. Oversizing f/
q
Water Plant Investment
713- Q
Sewer Plant Investment
/:3 ,j
Storm Drainage
L
Electric Underground-
.Tot I lFees; r
Off -Street Parking
(No. Cars)
Interior Lot 19
Corner Lot ❑
Reversed Corner Lot ❑
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Street
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TA k'N 43", 0
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KAR '0'34 f TL 1539,95
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APR.11'84
ZBA Case # Date
BBA Case # Date
Building Insp. �^ Approval
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by
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Permit No,. c
Date
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95
Disbibut on'. Original - Applhcan[^Slria - b li a Canary - Sales Tax. Pink - Applicant: Tag - Sldg. lnsp.
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