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HomeMy WebLinkAbout3118 Sam Houston Cir - Permits/Single Family New - 01/13/1987,Clty 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 3118 Sam Houston Circle----,, ,. Name D.E. Burns Conatimetion Mail Address 1106 Ye.W Place -� O %oveland. CO 80538 c' 1l e� Phone �3% Name D.E. Burna Construction Co. m Address 1 io6 Yew Place igveiand. co 8ors-3 License No. Di— 29 Phone -8,--66 a Lot 10 Block 11 Filing Number 2 N Subdivision Wagon Wheel m PUD Parcel # 97274-16-010 DESCRIPTION OF WORK Single I'=ily Residence Conifer I _ tax # 21750 Stock 248 Options A Plan No. Codes fk Est. Total Cost V (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. -97 signed6/ date C — CLASS OF WORK — New Alteration Addition Demolish Move © ❑ .E]r ❑ ❑ Plbq / "' —Mech r Ele' -" r Struct. Fire Prot. Occ; Gr_.K_a, Type Cos \ Use Zoe Use.of Building S 3e F&W y Residence Noo(Area 1104 - Height No. Stories 4 Lot Area 6700 Frontage 67 Occ. load Occ. Change from Plat File No. No. DU.__ Garage area 440 Fin. Bsm area v�S� Type heat GFA No. Fireplaces or stoves — RELEASES — Dates Zoning / Engineering Fire Department Electric Department Water & Sewer Plan Review <. Special Conditions: Valuation y'`�`r %'` FEES Plan Checkvr- Permit' Parkland City Sales Tax St. Oversizing Water Plant Investment l e�j(fl) Sewer Plant Investment f 'Q/ r✓• ' Storm Drainage/ 5ej' Electric Underground ,Total -Fees- �f Off -Street Parking (No. Cars) Interior Lot p= Corner Lot ❑ Reversed Corner Lot ❑ v� r to } U) ti Street _0cu ZBA Case # Date BBACase# a Date Building Insp, /' Approval date -by Permit No. r — �, Date Distribution; Original - Applicant: -Blue)-, OfficeCanary - Sales Tax: AnkL Applicant; Tag - BI'dg. Insp_ �- �._...