HomeMy WebLinkAbout1605 Shenandoah Cir - Permits/Single Family New - 03/23/1983.City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Permit No. Date
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address le. o..= S"'wriancit5rakz Circ:lu
Name ;aelk"rfa :;ou,e'; izac.
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Mail Address
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Name
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Address -c'f:
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License No. ,—?it
Phone 226-5331
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Lot 2
Block ci
Filing Nurl
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Subdivision `r01 r S. 's 7.GOWS
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DESCRIPTION OF WORK
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Stock l:. Options ."� i { ., v
Plan No. Codes
Est. Total Cost "'��'l`,0
(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 Addition Demolish Move
13 ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
d ❑ U E3' ❑
Occ. Gr. ;, 7
Type Const.
Use Zone w
Use of Building
Floor Area 1 .
Height
No. Stories r
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area ` 'X
Fin. Bsmt. area
Type heat :v
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water &Sewer
Plan Review
Special Conditions:
Valuation! /
FEES
Permit'
Plan Check
St. Oversizing
Water Plant Investment
Sewer Plant Investment
! .? c -
Storm Drainage
- --
Electric Underground
!
City Sales Tax
Total Fees
DistributionOriginal - Applicant) Blue - Office, Canary - Sales Tax, Pink - Applicant: Tag - Bldg. Insp.
ZBA Case # Date
BBA Case # Date
Building Insp. Approval _
by,, ' date r.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed ,Corner Lot ❑
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