HomeMy WebLinkAbout2057 Vermont Dr - Permits - 01/14/1988City 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 AddressZQ577 F-ty ;;:;.-
Name `
Mail Address .
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Phone:--, ' i •-
Name Dell S/N NC //
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Address r ,
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License No. Phone
Contractor Sales Tax No. --
Lot
Block
Filing Number
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Subdivision
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PUD o
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Parcel # _
DESCRIPTION OF WORK
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N.
Stock Options
Plan No. _. Codes —
Est Total Cost _Z
(including labor, materiel, 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 Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
PI bg. Mach. Elec. Struct. Fire Prot.
❑,- ❑ ❑ ❑ ❑
Occ Gr. Type Const.� Use Zone
Use of Building
Floor Area J�-}
Height
No. Stories'
Lot Area
Frontage
Occ. load
Occ. Change from
Plat,.File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering _l
Fire Department
Electric Department
Water & Sewer
Plan Review 1
Special Conditions:
Fii=l �r'tryl �Arzt�✓�
Valuation FEES
Plan Check
_ _
Permit
Parkland
'
City Sales Tax
..
St. Oversizing
".
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
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Total Fees
DnaM1ipcn.1n.Ongmal-Applicant Blue -Offce Canary-Saler•Tax. Pink Applicant Tag -Bldg Insp
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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ILL
Street
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ZBA Case#
Date
_
BBA Case #
Date
Building Insp. Approval
by date
283E
/88
Permit No.
Date
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