HomeMy WebLinkAbout4307 REVERE CT - PERMITS - 12/16/1986City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
App,icant complete this part of form only.
Press firmly sing ball point pen.
Job Addr ss
Name'q,',� J
Mail Address 2
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1
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Name
Address
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0
-
--
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License No. Phone
2
a—`---—
Lot (Block Filing Number
-- — —
Subdivision
m
Parcel #
DESCRIPTION OF WORK
F � l
i
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Stock Options
Plan No.__---
Est. Total Cost —--—
including labor, material/
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 ilding construction.
grel
i
— 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
Lot Area
Frontage
ENo.Eload
Occ. Change from
Plat File No.
Garage area
No. D.U.
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
_
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions: —
Valuation _
Plan Check
Permit _
Parkland
FEES
_ , .
— —
— —
-----------
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground — —
— --- ---- -----
Total Fees.
UISYnbllborl Original - Applicant. Blue - OflICP r,ar/ Tax. rink -Applicant Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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m
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m
cn
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0
LL
Street
_
0
0
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7
ZBA Case #
Date
BBA Case #
Date
Building
Insp.Approval'-
1 �- I
by
i .- date
Permit No.
Date