HomeMy WebLinkAbout2005 Spring Ct - Permits/Reroof - 09/30/1986city
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
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Mail Address"r,
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Phone 4*F
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Name ..
Address
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License No.
Phone '> h
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Lot
Block
Filing Number
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Subdivision
m
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PUD
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Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est. Total Cost
(ihcluding 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
— CLA
S OF WORK —
New Altqratipri
❑
Addition Demolish
❑ ❑
Move
❑
Plbg. Mach.
❑ ❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
No. Stories
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Plat F le li
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Gara area
_Filrb Bari area
Type heat
No. Fireplaces or stoves
— RELEASES —
Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
t ..
Valuation
FEES
Plan Check
Permit
Parkland
City Sales Tax
z'
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
To s
Distribution Original - Applicant bue - Office', Canary - Saei"a, Pink - Applicant, Tag Bid g. Insp.�
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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LL
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. ,r�/ Approval
by date
s
it 0.
Date
4