HomeMy WebLinkAbout2806 Crystal Ct - Permits - 03/19/1987City 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.
Job Address +6
Name aV 9__
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Mail Address 'Z a
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Phone
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Name
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Address C._ e
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License No. ,^ Phone
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Lot Block
Filing Number
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Subdivision
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PUD
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Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Code/
Est. Total Cost y�� �-
(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 flaws reg lating building construction.
signed Aate
— C ASS OF WORK —
New Alt r on Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
se Z ne
Use of Building
Floor Area fight
No. Stories
re Fro
Occ. load
c . Cha a fr
Plat File No.
Garage area
. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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CHCK 2
M98146 22:02 A
MAR.19'87
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ZBA Case # Date
BBA Case # Date
Building Insp. pproval
byJ�date
/
Permit No.
Date
FIX
Distribution: Original - Applicant: Blue - Office; Canary - Sales Tax: Pink - Applicant: Tag - Bldg. Insp.