HomeMy WebLinkAbout417-419 E SWALLOW RD - PERMITS - 4/4/1986City 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.
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Name C
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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 Nu)nber
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Subdivision
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PUD
Parcel #
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 Corl
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
4
Fin. Bsmt. area
Type Meat
No. Fireplaces or stoves
- RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
r
Parkland_
City Sales Tax
St. Oversizing
Plant Investment
_Water
Sewer Plant Investment
Storm Drainage
Electric Underground
Total *Fees
Distribution. Original - Applicant: Blue - Office, Canary - Sales Tax'. Pink - Applicant, Tag - Bldg. Insp.
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
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Permit No.
Date