HomeMy WebLinkAbout600 Duke Ln - Permits/Reroof - 04/24/1987City of Fort Collins
BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ballpoint pen.
Job Address LA k,1
Name %(n)J A4 Ael/,,%
Mail Address 2 5l Z`j� L,te7Z- U-1M ®
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Phone
Name ! M
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Address
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License No.
Phone
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a
Lot
Block
Filing Number
N
d
Subdivision
PUD
rn
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost r vQ
(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 —
New Alterati
❑
Addition Demolish
❑ ❑
Move
❑
Plbg. Mech.
❑ ❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const. Use Pne
Use of Building
Floor Area
e
No. Storie
L
rea
Frontag
Occ. loa
c.
age fro
Plat File o.
.
Garage area
in. Bsmt. area
Type heat
No. Fireplaces or stoves
—
RELEASES —
Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
0
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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Street
PRMTS
17.50
CHCK 1
NO-9391 05:02
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APR.24'87
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ZBA Case #
Date
BBA Case #
Date
Building Insp.
pproval
by7�� date
Permit No.
Date
.50
Distribution: Original - Applicants. Blue - Office; Canary - Sales Tax; Pink - Applicant; Tag - Bldg. Insp.