HomeMy WebLinkAbout4107 WAYNESBORO CT - PERMITS - 9/19/1986` City 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
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Mail Address
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Phone
Name
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Address
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License No. -
Phone ,
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Lot Block Filing Number
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Subdivision
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PUD
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DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est. Total Cost
I including labor, material, profit)
1 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.
signed
— CLAOSS OF WORK —
New Alters tio Addition Demolish Move
❑ R ❑ ❑ ❑
Plbg. Mach. Else. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
F(eigl+t
No. Stories
Lot Area
Frontage
Occ. load
cc Change from
Plat File
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 r"�„_ ,_ .- ;. .-.� FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
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Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Tote1 ees
nislnbubon Original Apphcarn Blue - Office; Canary - sales Tax. Pink - Applica4, rag-- ettlg Insp.
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Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reve�sed Corner Lot ❑
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Street
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ZBA Case # Date
BBA Case It Date
Building Insp. - pproval
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Permit No (atl r e