HomeMy WebLinkAbout2306 Rollingwood Dr - Permits - 05/06/1983City of Fort CollinS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PE,RhUT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 23o(v R oLL 1r✓Gwoo0 Pq
Name LEI..) t-tCi
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Mail Address
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Phone &4-0
Name _w )A LA
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Address CIG
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License No. Phone &(,PP7 -03
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Lot Block
Filing Number
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Subdivision
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PUD
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DESCRIPTION OF WORK
Ft� rJIIlk)
Stock f f `/ Options ^� t
Plan No._r '._I Codes
Est. Total Cost
(including labor, material, profit)
I hereby acknowledge that I have read this application and
state that the above is correctAnd agree to comply with all city
ordinances and state laws Tegulating building construction.
1 5 r�
yigned date
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— CLASS OF WORK
New Alteration
U. ❑
Addition Demolish Move
❑ ❑ ❑
Plbg.. Mech.
Elec. Struct. Fire Prot.
Occ. Gr. f�
Type Const.
Use Zone fi
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ.
Change from
Plat File No.
i
No. D.U.
Garage area
Fin. Esprit. area
Type heat rq f jl
No. Fireplaces or stoves
—RELEASES
— Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation
FEES
Per:Check
PlanSt.
izingWatnt
Investment
Sewer Plant Investment
'
Storm Drainage
s
Electric Underground
City Sales Tax
-v /t • f ,`
•
Total Fees
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Distribution. Original - Applicant, Blue - Office, Canary - Sales Tax. Pink - Applicant, Tag - Bldg. Insp.
Permit No.
Date
10426
Mi 0 l g8 3
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ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by ' date F
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
Street