HomeMy WebLinkAbout2901 Bluegrass Dr - Permits/Single Family New - 12/23/1984City of Fort CollinS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form uniy.
Press firmly using ball point pen.
Job Address
&141 _45 &ss
Name
Mail Address
0
Phone
Name
t5
Address
co
0
License No.
[Phone
0
Lot Block _j Filing Number
Subdivision
7a PUD
rn
DESCRIPTION OF WORK
Stock Options
Plan Codes
Est. Total Cost
tinClUding 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.
2
signed ._.date
- CLASS OF WORK
New Alteration Addition Demolish Move
Plbg. -Mech. Elec. Struct,_ Fire Prot.
El, Ell- EI
'T e C use zone
Occ. Gr. Type onst.
Use of Building
Floor Area Height J
No. Stories
Lot AreaFrontage
Occ. load
Occ. Change 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' Fe
s
es
1 -7. '7
Dv;irlh'010n'Omillial Apph,dl:1 l3lue� �Offfi"�: Canary 'Solos Tax J'IrIK AL)plicant. Tag - Bldg Insp
Off -Street Parking 71
(No. Cars)
Interior Lot ❑
Corner Lot
Reversed Corner Lot ❑
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Ca
U)
0
Street
61 ,J,. 247.100
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ZBA Case # Date
BEA Case # Date
Building Insp., Approval
by, date
Permit No.1
Date
57