HomeMy WebLinkAbout3407 Sam Houston Cir - Permits/Sprinkler - 06/25/1987City 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
a�
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3
O
Mail Address
Phone
Name
o
Address
V
A
License No. _ a
Phone ,521
Lot
Block Filing Number
aSubdivision
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PUD ►. yti
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Parcel #
DESCRIPTION OF WORK
O C.
s
Stock Options
Plan No. Codes
Est. Total Cost 00
(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
ordi nces an state laws regulating building construction.
signed date
— CLASS OF WORK —
e Alteration
❑
Addition Demolish Move
❑ ❑ ❑
Plb Mech.
❑
Elec. Struct. Fire rot.
❑ El
OCc. Gr.
Type Const. U
e Zooe
Use of Building
FloorArea
H t
No. Stories
of
ea
ront e
Occ. load
Occ
nge fro
Plat File No.
o.
Garage area
n. Bsmt. area
Type heat
L
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
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
Wtrdate
by K.
Permit
o.
Date
f„00
Distribution: Original - Applicant: Blue - Office: Canary - Sales Tax: Pink - Applicant: Tag - Bldg. Insp.