HomeMy WebLinkAbout4224 Goldenridge Way - Permits/Single Family New - 05/08/1986City of Fort CollinS BUILDING INSPECTION DIVISION
APPLICAT,�ON FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name Af ,) AID
8
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Mail Address r_�:
Phone -r �-
Name s �`Y"".
e-1 Al
CU
Address �?Ad a r4
o"
Y— f" /
O
License No. ,I'' ,. Phone
°
Lot
Block
Filing Number
Subdivision v4 lq �� , �' e�
o
PUD
11
Parcel # I .. j.
DESCRIPTION OF WORK
F�
Stock Options /f
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
IDistribution: Original - Appli-Sani,; lue: 09E de` - Sales Ta , Pihk - Appli aru: lbg -.Bldg. In�p.
— CLSSS OF WORK —
New Alteration Addition Demolish Move
q. 1 ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
EL
Occ. Gr. h
Type Const. f.
Use Zone ;' A
Use of Building '
Floor Area 1"W f ✓` e
Height -`
No. Stori 4 ':
of Area
I Frontage il",
Occ. load
Occ. Change from
Plat File No. I a 3
No. D.U.
Garage area f
Fin. Bsmt. area
Type heat f
No. Fireplaces orztevec-
- 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
7
Storm Drainage
Electric Underground
c G�
Tot I Fees,
IN
1
,
Off -Street Parking
ry'
(No. Cars)
Interior Lot
Ill"
Corner Lot
❑
Reversed Corner Lot
❑
37 ro
m
Iu
cc
vV ,
}
rn
LL
Street
c
0
a
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by
y ' ; date
Permit No.
Date