HomeMy WebLinkAbout825 Kimball Rd - Permits/Patio Cover or Sunshade - 06/12/1984City 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.
Job Address
Name ..f . !_ ,<• :'t i. r
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Mail Address
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Phone 41-el y/ 2
Name •,� r �, ,r
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Address
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License No.
Phone
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Lot L („p Block Filing Number
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Subdivision yl jr)Uf.,.TJ�i '
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DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost 5.'-0�01
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.
8 � t—
— CLASS OF WORK
New Alteration Addition
❑ ❑
Demolish Move
❑ ❑
Plbg. Mach. Ele_. Struct, Fire Prot.
❑ ❑ ❑ ❑. ❑
Occ. Gr. `� Type Const. "]
Use Zone
Use of Building y.li(J
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 `e,i yf
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review 7 .• ��� r,, - j I g' i-
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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
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot D'
Reversed Corner Lot ❑
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Street
PRMTS
23-67
TAXPM
10.60
TOTL
3MO
CHCK 3
N26571 12:41 A
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ZBA Case #
Date
BBACase#
Date
Building Insp. Approval
by �"�"• date
Permit No.
Date
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Distribution Original -Applicant se l e-OlOcaanary IeaIN lsx Tax, Tag - strip. Insp