HomeMy WebLinkAbout3424 Oregon Trl - Permits - 06/19/1985City 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 L
Name rT
Mail Address f p G/y
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Phone
Name .�
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Address
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License No. —��j
Phone
Lot —7 Block /7
Filing Number Z
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Subdivision
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DESCRIP ION OF WORK
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Stock Options
Plan No. Codes 04
Est. Total Cost
(including labor, material,' profit)
_o-r 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 statelaws regulating building construction.
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— CLASS OF WORK —
New Alteration Addition Demolish Move
❑✓ ❑ ❑ ❑ ❑
Plbg Mew Elegy/ StrFiret.
Occ. Gr.
Type ConstA-/E`,k, Use Zone
Use of Building
Floor Area I_AU41
Height
No. Stories Lot Area rr+ �,
Frontage t
Occ. load Occ. Change from
Plat File No.
No. D.U.
Garage area r�
Fin. Bsmt. area C
Type heat
No. treP7aces r stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check f'
Permit
Parkland
City Sales Tax
r
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Tot I F s
— --.�
Distribution. Original - ApplicanCbkue f�ficQ C - Sales Tax: fink - AppGcAt: Tag - Bldg. Insi;..
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
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ZBA Case # Date
BBA Case # Date
Building Insp. — Approval
by- l !- date -
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Permit N ,
Date
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