HomeMy WebLinkAbout3406 Pembroke St - Permits - 05/15/1987City 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 3406 Pembroke Street
Name Tri--Trend Inc.
Mail Address 1800 W. Horsetooth Rd.
3
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Fort Collins, CA 80526
Phone 223-5050
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Name Roger Strauss
Address 1600 V. 11orsetooth Rd.
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Fort Collins, CO 80526
License No. D-12
Phone 223-5050
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Lot 247
Block
Filing Number
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Subdivision Rossborough
PUD 97273--08-247
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Parcel #
DESCRIPTION OF WORK
Si le Family Uwellin
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.
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signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
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PlMech. Elec. Struct. Fire Prot.
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Occ. Gr. R.3
Type Const. V_N
Use Zone RLF
Use of Building Single Family Residence
FloorArea _
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.X)ft
Garage area
Fin. Bsmt. area —17—
Type heat GFA
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fir Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
F 6 F #
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax t
By Keport
St. Oversizing
'
Water Plant Investment
Sewer Plant Investment
Storm Drainage'
Electric Underground
Total Fees
unumuiwn: i_,nginai - Applicant, blue - Cnice: Canary - Sales Tax, Pink - Applicant. Tag - Bldg. Insp.
Off -Street Parking
(No. Cars),,,
Interior Lot
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Corner Lot
❑
Reversed Corner Lot
❑
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Pembroke
Street
Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. - Approval
by date
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Date