HomeMy WebLinkAbout1025 Oxford Ln - Permits/Reroof - 10/28/1986City 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 p a S Z
Name A acvl
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Mail Address
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O
Phone
Name
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Address
C
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License No.
one
2
Q
Lot
Block
Filing Number
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Subdivision
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PUD
W
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Parcel #
DESCRIPTION OF WORK
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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
— CLAS,S OF WORK
New Alten Addition Demolish Move
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❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
FloorArea
Hugh$
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
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
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Valuation FEES
Plan Check
Permit
• rr: -
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground_
Total Fees
Distribution'. Original - Applicant, Blue - Office. Carwq - Sales Tax. Pink - Applicant, Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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0
01
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m
in
c
0
_JLL
Street
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ZBA'Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date