HomeMy WebLinkAbout1936 Newcastle Ct - Permits - 09/19/1983City of Port sCollins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE dF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name Tri-Tzend Inc,
cMail
Address
3
O
Fort CoMns,00 80526
Phone 223-5050
Name Roar$
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—
Address 1800 Jest Boisetooth
o
Fort Collins CO 90526
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License No. 'D-12 Phone- 2"23-5050-
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Lot 127
1131ock
Filing Number 1
m
Subdivision Rossboir
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PUD
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DESCRIPTION OF WORK
Single Family Dili i
Stock 104 Options ��
Plan No. Codes 4.
Est. Total Cost 18+ 183.00
(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 —
Alteration Addition Demolish Move
❑ ❑ ❑ ❑
b Mach. Elec. StFuct. Fire Prot.
t3 0- '❑ ❑ ❑
Occ. Gr. I
Type Const. V h-,
Use Zone/'f /.-
Use of Building
Floor Area '>
Height
No. Stories --
Lot Area'.'; %'. '%
Frontage ' �?, 7
Occ. load
Occ. Change from
Plat File No. r� i .' - If
11
No. D.U. t
Garage area
Fin. Bsmt. area
Type heat I
No. Fireplaces or stoves ,>
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check c> Zz z
Permit r-'
Parkland •
0 , 0
City Sales Tax
OY.>
St. Oversizing
4-
Water Plant Investment
2
Sewer Plant Investment
Storm Drainage
D . L)
_
Electric Underground
Total Fees _
Distribution: Original - Applicant; Blue - Otfice; Canary - Sales Tax; Pink - Applicant. Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
Corner Lot
Reversed Corner Lot ❑
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Nr O
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Streets"`
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ZBA Case # Date
BBA Case # Date
Building Insp. Approval '
f
by - ' ' date / /
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Permit No.
Date