HomeMy WebLinkAbout1840 Orchard Pl - Permits - 04/10/1984City 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 Q eC,�wwb &.
Name (e)OS '7 —
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Mail Address
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Phone
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Name :ETLDS
Address
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License No. 7L
phone
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Lot Block Filing Number
Subdivision
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PUD
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DESCRIPTION OF WORK
i
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 Alte ion Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. M6 ch. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const. i
=Use
Use of Building
Floor Area
Height
No. Stories I
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Estill 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
; Z `a -
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total. Fees
Distribunan 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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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. ', Approval
by
— date
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Permit No.
Date