HomeMy WebLinkAbout2912 Querida St - Permits - 04/02/1987City 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 Addres
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Phone
0
Name
Address
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License No.
Phone
°
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Lot
Block
Filing Number
N
Subdivision
W
PUD
m
Parcel #
DESCRIPTION OF WORK
MEL
Stock Options
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
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ Q- ❑ ❑
Plbg. Mech. E(ec. Struct. Fire Prot.
❑ ❑ [T _ ❑ ❑
Occ. Gr. _
Type Consf. - '
Use Zone
Use of Building l
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No. -,
No. D.U.
Garage area
13smt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning -
Engineering
Fire Department
Electric Department
Water R Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
• ; `�' - .
Permit
f
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
I '
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution. Original - Applicant, Blue - Office: Canary - Sales Tax: Pink - Applicant; Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑-,
Corner Lot
❑
Reversed Corner Lot ❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
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42/�-7
Permit No.
Date