HomeMy WebLinkAbout2635 Somerville Dr - Permits - 03/24/1987City 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
Jcb Address
Name
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Mail Address
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Phone
Name `, C l
Address
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License No
Phone
c
° Lot 181ock Filing Number
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N Subdivision -
PUD
"; Parcel # r
DESCRIPTION OF WORK
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_
Stock Options
PlanNo.Codes__--_-
Est. Total Cost_—
uncluding labor, material, profit)
I hereby acknowledge that 1 have read this application and
state that the above is correct and agree to compiy with all city
ordinances and state laws regulating building construction.
signed ---— — ---- - -- date - -
— CLASS OF WORK —
Ne,,w.. Alteration Addition Demolish Move
Ix ❑ ❑ ❑ ❑
Qbg. , Mech,,. Elec. St r ct.-" Fire Prot.
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Occ. Or. Type Cornisit,
Use Zone r`
Use of Puilding
Floorgrea _-
Height
Np. Stories
Lot Area
Frontage r �
F,-
-
Occ. load
Occ. Change from
Plat File No.
No. D.U. j
Garage area
F'tN Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
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—«.--
valuation f.�.�-fig / -- FEES
_
Plan Check! <
Permit • ?+' f -
Parkland
City Sales Tax
St. Oversizing:-
Water Plant Investment
Sewer Plant Investment
-.
Storm Drainage
1�
Electric Underground
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Total Fees
Distribution. Original - Applicant. Blue - Office. Canary - Sales Tax. Pink - Applicant. Tag - Bldg. Insp.
Off -Street Parking
(No. Cats)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot
❑
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d
Cr
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0
Street
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ZBA Case #
Date
BBACase 4
Date
—
Building Insp.
—
-Approval
by
- date
A5)4q;CC{/^/�j
Permit No.
Date