HomeMy WebLinkAbout4306 REVERE CT - PERMITS - 9/22/1986City 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 3 0 �N cf
Name
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Mail Address
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Name VOf LAY i HB�Y G
Address S
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License No. -3 S!Phone5�8 z- �oDO
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Lot
Block
Filing Number
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m
Subdivision
m
PUD
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Parcel #
DESCRIPTION OF WORK
Oil
~lock Options
Man 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.
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
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_ •'"yT
,-,�-
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees.
Distribution Original Al Blue - Office, Canary - Sales Tax', Pink - Al Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m
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U)
m
c
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L
Street
C
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m
7
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date