HomeMy WebLinkAbout3106 Sam Houston Cir - Permits/Addition or Alteration - 09/15/1986City
O Fort Collins BUILDING INSPECTION DtYIS.!ON
APPLICATION .FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address ".7 f V t. 1/011 - /-,%-. W r
Name • •BOW C08 5,t&,q $'A.•
Mail Address f
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alwtg CO 00337
Phone fees
Name D. ''• Buma Conotruction Co.
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Address I ICS yozi Mace
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LOV01and a CO 80537
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License No. D — 2
Phone
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Lot
Block
Filing Number
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Subdivision}
PUD f
Parcel #
DESCRIPTION OF WORK
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,Jr .w-'ri/•ice t` yy+ "w...<"f'.
Stock oM /} Options
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Plan No. r^x Codes
Est. Total Cost `~ 0 C:)
(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.
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,= CLASS OF WORK —
New Alteration Addition Demolish Move
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Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
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
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Parkland
City Sales Taxj�i"�=r.,
St. Oversizing
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Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
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Distribution: Original - Applicant:•BI e - Off ce;Canary.- Sales Tax; PinkvApplicant'Tag - Bldg Insp. ! "� �'
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Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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ADDENDUM
ZBA Case #
Date
BBA Case # 4
Date
Building Insp. r� -. Approval
by (' "t f date
I I ;�n/4
..
71
PA&
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Permitt"No.
Date r
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