HomeMy WebLinkAbout2904 Tulane Dr - Permits - 11/04/1986City 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
Name .
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Mail Address
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Name
FPhone
Address
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License No. :°
aSubdivision
Lot
PUD
d
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Parcel #
DESCRIPTION OF WORK
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PkaSl�in
Stock Options
Plan No. Codes
Est. Total Cost 1
(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 dale
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Pa , Much..! Euj❑ St Fire Fire Prot.
Q ❑
Dec. Gr. Type Const.
Use Zone _. (.
Use of Building
Floor Area=from
ht
No. StoriesFrontage
Occ. loadPlat
File No.
-Garage
area.
areaType
heataces
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
Distribution original Applicant, Blue - Office.Canary -Sales Tax_Pink -AppllnaN Tnn -elnr, nsp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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_la
V
d
1
m
a
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c
0
_V LL
Street
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a
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date