HomeMy WebLinkAbout907 Breakwater Dr - Permits/Single Family New - 11/15/1986of Fort Collins BUILDING INSPECTION"DIVISION
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APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
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Mail Address '��:, f c� 57_1 ',
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Phone �L:�1 _ ]'Ca (3
Name
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V Address
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License No.
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Lot / t
Block
Filing Number
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Subdivision J c, / > _ r Z'
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PUD J
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DESCRIPTION OF WORK
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Stock Options
Plan No, Codes
Est. Total Cost 0 c:l
(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
— CLASS OF WORK —
New Alteration Addition Demolish Move
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PIS—_)Mecch. ;Elec? Struct Fire Prot. l
Occ. Gr.�;;' Type,�Consf._�_ N
Use Zone L1)
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Use of Building
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Height
LFj6orr,Area
Lot Area17e�� Frontage
Occ. Change from
Plat File No. 36o • t N
No. D.U.
Garage area -
Fin. Bsmt. area
Type heat 0 ,
No. Fireplaces or stoves
— RELEASES — Dates
Zoning f] l c jJ%%a C• a ''a b
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review 9
144 �
Special Conditions, ---
Valuation FEES
Pfan Check
Permit
Parkland
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City Sales Tax
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St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
-
Total Fees r'11%.
Off -Street Parking
(No. Cars)
Interior Lot
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Corner Lot
❑
Reversed Corner Lot ❑
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Street
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ZSA Case #
Date
BBA Case #
Date
Building Insp.f A Approval
by �.`� �.J date
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Permit No.
Dale
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