HomeMy WebLinkAbout1613 Quail Hollow Dr - Permits/Addition or Alteration - 10/04/1985City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMJT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
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Name . M, G t n n-e
Mail Address "tot„
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Phone ZZ3- 4L cj
Name
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Address
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License No.
Phone
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Lot Block
Filing Number
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Subdivision
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DESCRIPTION OF WORK
A
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 building construction.
signed date
— CLASS OF WORK —
New Alte tion Add'tion Demolish Move
❑ ❑ ❑
Plb9. M ch. El e Struct. Fire Prot.
❑ ❑ ❑ ..,
Occ. Gr.
Type Cons(
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontaje
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
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
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
DiSti buron. Original - Appurant Blue -Office unary Sales Taa Fink - Appilce O; Tag - Biag. Imp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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CID
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. •Rpproval
by date
Permit No. _
Date