HomeMy WebLinkAbout2636 Dumire Ct - Permits/Sprinkler - 05/12/1988City 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 y.
Name
Mail Address O
3
O
t
Phone
`o
Name
m
AddressMoab
10
0 0
U
License No. a Phone
o.
Lot
Block
Filing Number
N
Subdivision
d
PUD
rn
Parcel #
DESCRIPTION OF WORK
)O
t
Stock Options
Plan No. Codes
Est. Total Cost "� + Ob
(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.
sign date
— CLASS OF WORK —
e Alteration Addition Demolish
❑ ❑ ❑
e
Move
❑
Plbg. Mech. Elec. Struct.
❑ ❑ ❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const.
Use Zone
Use of Building L
Floor Area eight
No. Stories
of Ara
Frontage
Occ. load
Occ. C nge from
Plat File No.
No. D.U.
Garage area
Fin. 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 ❑
-o
m
m
a�
m
—
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to
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to
c
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Street
F
TCTL 15.00
Ir"FiCK .1 ,
N24433 :13'-05 A
C
MAY,13'88
0
ZBA Case # Date
BBA Case # Date
Building
Insp. Approval
by
• date
Permit No.
Date
Distribution: Original - Applicant. Blue - Office; Canary - Sales Tax: Pink - Applicant; Tag - Bldg. Insp.