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HomeMy WebLinkAbout1219 Twinberry Ct - Permits - 01/09/1987City 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 Addresseri i'an`:..:r:y IBC. Name Ii.c«el R.. lu (:Onnie J. ';chubiert c Mail Address a50f) '9%yant3cttte Dr. p ort Co Mris• 0-, YN-3?F Phone 4.Y::-467n `o Name ',•I°ft3"kSP i. 1:1C. Address d'art roo22ise C.) C0522 License No. �• 2<' Phone 22t:>--6:.�=-`� 4 a Lot '> Block Filing Number Z Subdivision ik"l 3}-.r1t=<;P vi728n 0 m PUD � .Parcel # '-,t �oi.>1-3(.`-'.^. J;; DESCRIPTION OF WORK i;oniitriiczLoi7 of a -If-w "t,r` I" u.,!i Zy r •=idpnce trit`i attiiclecil '2—crar 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 srdinances and state laws regulating building construction. signed . -' tda�e y — CLASS OF WORK — Nei Alteration Addition Demolish Move ❑ ❑ ❑ ❑ PlbQ. Mach. Ele¢-- Struct. Fire Prot. Occ. Gr. >3"= Type�eAft. V Use Zone 4,W1,P Use of Btfflding FlogdArea iJl ' Height -7 No. Stories :.' lot Area ic'iitw`s Frontage Occ. load Dec. Change from Plat File No. No. D.U. Garage area 528 ftwibsmt. area C Type heat i FA No. Fireplaces or lIDx= 1 — RELEASES — Dates Zoning Engineering Fire Department Electric Department Water & Sewer Plan Review Special Conditions: Valuation �,.. r (' %- -----FEES Plan Check Permit Parkland 'tC' City Sales Tax St. Oversizing -- Water Plant Investment Sewer Plant Investment % Storm Drainage Electric Underground 4- <,_... to fees , Distribution: Original - Applicant: altfa - Otfiee;'Canary = Sales Tax', Pink - Applicant Tag - Bldg. Insp. Off -Street Parking y (No. CIrs) Interior Lot g,k Corner Loti ❑ Reversed Corner Lot ❑ 0 K` d ve t 9. i c o / N Street `o a ZBA Case If Date BBACase# Date Building Insp. ' ¢..rf pproval by date \ Permit NiT.,. 11, Data