HomeMy WebLinkAbout2801 Virginia Dale Dr - Permits - 12/04/1985of FortCollins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERWJT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address if I /M
Name-
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Mail Address
Phone p
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Name rN r
as
Address (14 Of
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to, Ai 'O: Co o
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License No.
Phone `g 9J "27P
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Lot
Block
Filing Number
4
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Subdivision Wild it ?AJ dd
°
9
PUD
7 / o
DESCRIPTION OF WORK
Stock Options
Plan No.—.vC�odes
Est. Total Cost ,nrv/ 0w
(including labor, material, profit)
1 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.
�Gl •rf'� "e. p r- P? �J
- sigoed -.... date -
— CLASS OF WORK —
NMW Alteration Addition Demolish Move
Pibg. Mach. Elec. Struct. Fire Prot.
O ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone fcw
Use of Building
FloorArea ,,20Q Height
No. Storm I
Lot Area 67/0
Frontage 6/
Occ. load
I Occ. Change from
Plat File No. 36((, I
No. D.U.
Garage area
Fin. Bsmt. area
Type heat ro ,:+t
No. Fireplaces or stoves /
— RELEASES — Dates
Zoning e% - / l
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review av—
Special Conditions:
a
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
r<
Electric Underground
Tojql Fees
DisltlWbon:Original- Amlicam Shoe - Ottice: Ca n-aal"Ta P k-AOpIi.—Tag-614.Anspl- N
P
Off -Street Parking
(No. Cars)
Interior Lot
dx
Comer Lot
❑
Reversed Corner Lot
❑
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Street
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ZBACase#
Date
BBA Case #
Date
Building Insp. r- - Approval
b
�..� date
,Permit No.. . -
Dete
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