HomeMy WebLinkAbout3349 Dudley Way - Permits/Single Family New - 08/31/1987City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CLATIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
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Mail Address
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Phone
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Name
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Address
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License No.
Phone
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Lot / 3
Block
Filing Number
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Subdivision /_ f t. -•
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PUD
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Parcel #
DESCRIPTION OF WORK
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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
1
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Or.
Type Const. Use Zone
Oia of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Bsmt. area
Type heat
No.:Fireplaces or-jtlJM
— RELEASES — Dates
Zoning fl
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review�r
Special Conditions:
Valuation �'�`� �`� FEES
Plan Check ~ , ,' ,c>
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Permit
Parkland
City Sales Tax
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St. Oversizing
Water Plant Investment
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Sewer Plant Investment
Storm Drainage
-4
Electric Underground
Total Fees
Distribution: griginal - Applicant: Blue - Office Canary - Sales Tax: Pini - Appli4iant!'Tag 'iBldg. 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 1 ! i date
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Permit No.
Date