HomeMy WebLinkAbout1730 Trailwood Dr - Permits - 10/10/1986City 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 1730 Trai Iwood .Qriwe,
Name LYci`1 iv �Iu•e�;;$ it��, i
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Mail Address
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Phone zv
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Name Bi11 Gorski
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Address r.Vi:'1uC
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se No. �_ a� Phone 1, .i-'t 7� 1
Block
Filing Number
fSubd
vision
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DESCRIPTION OF WORK
�1t1 �2 ilMl (
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 Alteration Addition Demolish Move
d ❑ ❑ ❑ ❑
Plbg. Mech. Elec Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. -. Typg Const..G.�
Use of BuildingL
Floor Area , ,�.;,
No. Stories
Lot Area
age i ,Occ.
load
Occ. ChanPlat
File No. ; :--iGarage
area
Type heat ',h 1
No. Fireplaces or stoves 1
— RELEASES — Dates
Zoning .,
Engineering
Fire Department
Electric Department
Water & Sewer
Plan ReviewCe .
Special Conditions:
Valuation �''r--' ;;` FEES
Plan Check
Permit
Parkland
City Sales Tax
L�
St. Oversizing
Water Plant Investment
Sewer Plant Investment
-
Storm Drainage_
.!
Electric Underground
Total Fees
— ^ — —Y'111,-nyyncenL olue-Vmee: UanB,v la!e3 Tax 11111, g-App!,antT
- g-Bldg !nsp
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot d
Reversed Corner Lot ❑
AVID
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Street
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ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
Permit No.
Date