HomeMy WebLinkAbout1742 Sagewood Dr - Permits/Addition or Alteration - 03/05/1985City 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 49 S GrAt-tand
Name Mm
Mail Address 3000 S College
0
Fort Collins. CO 80525
Phone 484-4791
Name Bill GUrSkj
Address PO Box 2125
0
3000 S College Ft Collins
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License No. C-17
Phone 4E4'491
2
a
Lot
_
Block
Filing Number
N
Subdivision Pa(r'kwood East
PUD
4)
J
DESCRIPTION OF WORK
REM004
Stock Options
Plan No. Codes
Est. Total Cost -y -
(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.
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signed .- �- ��d te', (77-
— CLASS OF WORK —
New Alteration Addition Demolish. Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ 3, ❑ ❑
Occ. Gr.z,-
1
Type Const. -•
Use Zone
Use of Building j' 4- , ,J
FloorArea " Height
No. Stories
Lot Area
Frontage
Occ. load
rY
Occ. Can e from
Plat File No. ?
No. D.U.
Garage area
Fin. Bsmt. area
Type heats rNo.
Fireplaces or stoves
RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review A
Special Conditions:
Valuation FEES
Plan Check
Permit
00 (D'1
Parkland
City Sales Tax
i #'
St. Oversizing
`
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
_
Totat�l;ees ('7-
x: ��
D istribuhon: Original - ApphcanGtBlue - Ot(ice: Canary -Sales TaPin6 -Applicant: Tag -Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
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I Date --