HomeMy WebLinkAbout4130 SPRING CANYON CT - PERMITS - 5/21/1986%ty of Fort Collins BUILDIN!b 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 ., d
Name L. -
Mail Address
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Phone
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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
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost
(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
ordinances and state laws regulating building construction.
signed date
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. .�
Type Const. Ait
Use Zone j,' I f
Use of Building 5 r~ k
Floor Area I ou
Height
No. Stories "
Lot Area A, > s
Frontage S
Dice. load
Dec. Change from
Plat File No.
No. D.U.
Garage area
t# Bsmt. area
Type heat t ,f t j lilliA
No. Fireplaces or stoves Ile
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review '
Special Conditions:
C pS 86 - solg - A C
Valuation % FEES
Plan Check
Permit!
Parkland
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City Sales Tax
-
St. Oversizing
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Water Plant Investment
Sewer Plant Investment
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Storm Drainage
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Electric Underground
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Total Fees
Distrihution Original - Applicant, Blue 09ice'. Canary Sales Tax'. Pink - Applicant: Tag - Bldg. Insp.
'3
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% date
PermitN
Date
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