HomeMy WebLinkAbout1512 Sioux Blvd - Permits - 03/19/1986City of Fort Collins BUILDING IM-PECTION - ViSIaN
APPLICATION FOR BUILDING PERhUT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address I�_;
Name 1% ,. f34ms Construction CU.
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Mail Address 1106 yeW place
o
Loveland, Coln. 80537
Phone 6E9-8386
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Name L). E. Bums Constructi m Co.
Address 1106 Yew place
a
Loveland, Colo. 80537
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License No. � 2`1
Phone w'9
669 �+ Q�
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Lot
Block Filing Number
Subdivision d
PUD
it 7
DESCRIPTION OF WORK
Single i`amily Rea.
A C-,
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, material, profit) 14 D f A0"
I hereby acknowledge that I have rea his application and
state that the above is correct and agree to comply with all city
'ordinances and state laws regulating building construction.
signed , date
.02
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
P Me h. El St ru Fire Prot.
0
Occ. Gr i--- - Type Const. -+ I
I Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area Montage -14
Occ. load
Occ. Change from ----
Plat File No.
—`
No. D.U.
Garage area Vii
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves,,,--,,.
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation (' r < FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
f r . '
Sewer Plant Investment
Storm Drainage
r —%
Electric Underground
A
Total Fees
f
Off -Street Parking
Interior Lot
(No. Cars)
Corner Lot
❑
Reversed Corner Lot ❑
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cc
V\�/
<. 4).
6'I
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ti
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Street
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fill
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by -' J date
_
r
Permit yo.
Date
Distribution. Original -Applicant; SN-r offIce;,canary -Sales Tax. Pink - Apfiticant: Tag kid-0.,lnsp.