HomeMy WebLinkAbout1701 Tanglewood Dr - Permits - 03/21/1984City of Fort Collms BUILDING INS'PECTION-DIVISION ~
APPLICAT16H FOR BUILDING PER4T AND CERTIFICATE OF OCCUPANCY TS-2020
Applicant complete this part of form only.
Pr ss firmly using ball point pen.
Job Address ii�'Tanulewwd Dr,
Name E:verit for,eS
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Mail Address P.O&ox 2125
o
Fort Collins, CO
Phone 434-4791
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Name JotigyJohnson
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Address 30uO So. College v
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Fort Collins d
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License No. B-57
Phone 4 A-4'r%91
2
Lot
Block
Filing Number
y
Subdivision Park wood East
t`
PUDcis
S
DESCRIPTION OF WORK
Single family dwellino
Stock Options
Plan No. Codes
Est. Total Cost itmm
(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 statelaws regulating building construction.
i;eC 9, 10i33
signed. tee
A
— CLASS OF WORK
New Alteration ` Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ 0— -❑ ❑
`
Occ. Gr. TYpe Consti .,./
Use Zone
Use of Building
Floor Area _
Height
No. Stories ,_
Lot Area c� i
Frontage _ -
Occ. load
O Change from
Plat File No. r
H t'1
No. D.U. A
Garage area / ! C'
Fin. Bsmt. area
Type heat}"
No. Fireplaces or stoves
— RELEASES —' Dates
Zoning
Engineering
Fire Department Y
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation -FEES
Plan Check l
Permit
Parkland
City Sales Tax
St. Oversizing
- .-'-
Water Plant Investment I ;s1
Sewer Plant Investment
s
Storm Drainage
Electric Underground
otal Fees
Distribution. Original - Appbcan : QI - 6I ice; Canary.. ales Tax. Fink - Appl,,cant Tag eldg. Insp.
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Off -Street Parking
Interior Lot
(Nrs)
Corner Lot
Reversed Corner Lot ❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. ,. . r Approval
by �!�' date
Permit No.
Date
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