HomeMy WebLinkAbout4436 ROSECROWN CT - PERMITS - 3/10/1983City 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
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Mail Address
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Phone
Name
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Address
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License No. A r Phone Vr
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Lot
Block
Filing Number
N
Subdivision
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5
PUD
J
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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
- CLA S OF WORK
New Alterati Addition Demolish
Cl ❑ ❑
Move
❑
Plbg. Mech. Elec. Struct.
Q ❑ ❑ ❑
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
Permit
Plan Check
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
City Sales Tax
Total Fees
Distribution. Original - Applicant, Blue - Office, Canary - Sales Tax, Pink - Applicant, Tag - Bldg. Insp.
Permit No.
Date
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ZBA Case #
Date
BBA Case #
Date
Building Insp.
Approval
by, - -
date
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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