HomeMy WebLinkAbout825 Cambridge Dr - Permits/Reroof - 09/18/1986City 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
Name
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Mail Address
Phone��'`
Namy
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Address /
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License No,J ,;;;?��
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Lot Block Filing Number
Subdivision
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PUD
Parcel If
DESCRIPTION OF WORK`
Stock Options
Plan No. �. 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 all city
ordinances and state laws regulating buildingconstruction.
signed<-
— CLASS OF WORK —
New Alteration/ Addition Demolish Move
❑ ❑I ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building I,
Floor Area ,,�
Height /
No. Stories
Lot"Area 1 f�'~ Frontdge
Occ. loader Al
Occ. Change fromlf,
Plat HAD" _
No. D.U�
Garage area .}"
y
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation ll f :''. FEES - --
Plan Check
Permit
,Parkland
City Sales Tax
/ / -
St. Oversizing
Water Plant Investment '-
Sewer Plant Investment.'
Storm Drainage
Electric Underground
.Total
Distribution :Original -Appbcaa'alue-Onice,.0an�ry-Sales Tax. Pink'r ApplicantTag=Bltlg>Insp`.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
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9
7
ZBA Case # Date
BBA Case # Date
Building Insp. _Approval
by F' date
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--Permit No.
\ Date