HomeMy WebLinkAbout4112 WAYNESBORO CT - PERMITS - 10/1/1986City 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 �,. .1
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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
Subdivision
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PUD
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Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
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Est. Total Cost W5ioQo 0
(including labor, material, protit)
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.
signed date
— CLA OF WORK —
New Alte atio Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building ( It
Floor Area
Heigh'
No. Stories
Lot Arja -
Frontage
Occ. load
fcbc.. Change 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
Permit
/
Parkland
City Sales Tax
/
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total fees
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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.--A6proval
by
date
Permit No.
Date