HomeMy WebLinkAbout1756 Somerville Dr - Permits - 08/27/1986City 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
Name r.rill kk jr
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Mail Address • `��
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Phone /1,, ,e
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Name 'Ave
Address
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License No. S- O
Phone 2 _ �w
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Lot
Block Filing Number
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Subdivision
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PUD
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Parcel # -7 -
DESCRIPTION OF WORK
r�Cer
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Stock Options
Plan No. Codes —
Est. Total Cost -J , 110
(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 G l� date
— CLAS • OF WORK
New A'te2atio Addition Demolish Move
❑ !� ❑ ❑ ❑
Plbg. Mec Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Cl
Use Zone
Use of Building _
Floor Area
Height 7 '
No. Stories
Lot Area
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Occ. loa3
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Plat File 1
U. '
Garage area.
smt. 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. Oval
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution Original - Applicant Blue - Office, Canary - Sales Tax', Pink - Applicant, Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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IV
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ILL
Street
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ZBA Case # Date
BRA Case # l Date
Building Insp. Approval
by date
Permit No.
Date