HomeMy WebLinkAbout2700 Pampas Dr - Permits - 09/25/1986 (2)City 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 rg7w Z
Name L&llu ow
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Mail Address a J 'Sr-
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Phone
Name Inc
Address
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License No. Phone
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Lot
Block
Filing Number
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Subdivision c i
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PUD
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Parcel # )-, 3 C;0 16
DESCRIPTION OF WORK
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
ordinances and state laws regulating building construction.
signed. date
— CLASS OF WORK —
Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Ib e h. Ele Struc . Fire Prot.
Occ. Gr.
Type Const. Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fip Bsmt. area j
Type heat x
No. fireplaces dr stoves
— RELEASES — Dates
Zoning -
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation f FEES
Plan Check
Permit
Parkland
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City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
'
Storm Drainage
Electric Underground
Total Fees'.._
Distribution Original - Applicant: Blue - Office', Canary - Sales Tax. Pink - Applicant, Tag - Bldg Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
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Permit No.
Date