HomeMy WebLinkAbout4130 SUNCREST DR - PERMITS - 9/28/1987-)ity
of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PER&UT AND CERTIFICATIE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
,fob Address
1
Name . orn -sef I C s
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ai
c
Mail Address
Phone
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Name
u
Address
E
c
C9
License No.
Phone
Lot
Block
Filing Number
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j
Subdivision
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PUD
v
Parcel # ; t
DESCRIPTION OF WORK
Stock Options
PlanNo.— .- 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.
T signed date
= CLASS OF WORK —
New Alteration Addition Demolish
❑" ❑ ❑ ❑
Move
❑
Plbg. Mech. Elea Struct.
❑ ❑ ❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
r
Floor Area Fleight
No. Stories
Lot Area v,r';
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES.—
Dates
Zoning % 7
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
Oistribulio¢ Original - Applicant Blue - Office. Canary Sales Tax. Pink - Applicant: Tag - Bldg Imry
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
A,
Reversed Corner Lot ❑
a
ai
Y
ni
V
d
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in
m
W
0
LL
Street
C
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ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
11
/ / (�
cQ
Permit No.
Date