HomeMy WebLinkAbout2648 Dumire Ct - Permits/Single Family New - 03/30/1987p-
City 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 hu rn ici= C
Name
m
Mail Address
3
O
Phone
Name
0
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Address
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License No.
Phone
Lot
Block
Filing
g Number
N
Subdivision
PUD
O1
Parcel #
DESCRIPTION OF WORK
Ch L
Stock Options '
Plan No. ( _ Codes A
f
Est. Total Cot
(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 Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg,, Mech. EI@c. Struct. Fire Prot.
❑ '` ❑ 0' ❑ ❑
tic:Y.
Type Const. ' : Use Zone
'di of Building r
Floor Area
Height
No. Stories
Lot Area
:F
Frontage ;
Occ. load
Occ. Change from
Plat File No. 1
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
c
Sewer Plant Investment
Storm Drainage
Electric Underground
/ C
Total F es
3-
-Z
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
G
Reversed Corner Lot
❑
-0
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Street
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0
all
ZBA Case #
Date
BBA Case #
Date
Building Insp. �� , ^, ---t"'Approval
by date
mi No.
D A
..3
Distribution: Original - Applicant; Blue.- Office; Canary - Sales Tax. Pink - Applicant; Tag - Bld4. Insp.