HomeMy WebLinkAbout1133 BENT TREE CT - PERMITS - 5/20/1985of 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 1 r
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Mail Address
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Phone
Name 1C__N f_ .
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Address
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License No. PhoneZ
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Lot
Block
Filing Numbers +�'
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Subdivision
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DESCRIPTION OF WORK
tock Options
V�Ian No, Codes
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Est. Total Cost 3 .f'f,
Including labor, material, profit)
I hereby acknowledge that I have read this application and
tat" that the above is correct and agree to comply with all city
remances and state laws regulating building construction.
signed
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Ml.ch. Else. Struct Fire PJpt.
❑ ❑ ❑ ❑ _�C]
Occ. Gr.
Type Const.
Use•Z( e
'
Use of Building
Floor Area .. ,: '
Hig
t
No. Stories
Lot•Area ,'
Frontage
Dec. load /
Occ. Ch ange 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
Ii
Permit
Parkland
City Sales Tax e
-St. Oversizing
Water Plant Investment
_
Sewer Plant Investment
Storm Drainage
Electric Underground
To al-Fges.�
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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ZBA Case N
Date
BBACaseit .
Date
Building Insp. , 'Approval
by ,-jdate
,
P.e mit,No--.,, C--r
Date
"Dis`n mean originai - Apphcant Blue 'Oliice'Canary - Sales tar oink\_A ppecanf.—Tag - elbg. lnsp._4Z�_!L�_