HomeMy WebLinkAbout3107 Silverthorne Dr - Permits - 04/18/1986City of Fort Collins
BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTrFICAT9 OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name
v
c
Mail Address
3
O
Phone
Name
04
9 Address
c
License No. Phone
v
n
Lot Block Filing Number
Subdivision
m
PUD
DESCRIPTION OF WORK
5
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.
-- Sig,led —_ —. ---.-- —date--
— (:,LASS OF WORK
New Alteratjon Addition Demolish Move
❑ ❑ ❑ ❑
Plb Mech. Elec. Struct. Fire Prot.
t�z❑ ❑ ❑ ❑
Occ. Gr. rype Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Irrontage I'
Occ. load
O . 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 Fees
_
_
_ _—__
Distribution. Original - Applicant; Blue - Offlce'. Catpry - Siales Tax. Pink —Applicant, Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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ro
m
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m
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U)
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No,
Date