HomeMy WebLinkAbout1408 Teakwood Dr - Permits - 04/17/1986City 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 ) y *. ✓ ,?( r
Name t
d
Mail Address w
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PhoneName
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Address
c
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1
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License No. "? ��' :,
Phone
n°
Lot
Block
Filing Number
H
Subdivision
m
PUD
Parcel # E
DESCRIPTION OF WORK
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1 r r
r- i
r t
A
Stock Options
Plan No. Codes
Est. Total Cost 1 ' '
(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 date
— CLASS OF WORK
New Alteration Additi n Demolish Move
El ❑ ❑
P Mach. E Struqe Fire Prot.
❑ ❑
Occ. Gr. r - , Type Const. rt '
Use Zone r
Use of Building c
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 - r
Water & Sewer
Plan Review t
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
-
Distribution: Original - Applicant Blue - Office; Canary - Sales Tax; Pink - Applicant: Tag - Bldg. Insp. ,
Off -Street Parking
(No. Chr§)
Interior Lot
11
Corner Lot
❑
Reversed Corner Lot
❑
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Street r r
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ZBA Case #
Date
BBA Case #
Date
Building Insp. t Approval
by I date
Permit No.
Date