HomeMy WebLinkAbout4454 STARFLOWER DR - PERMITS - 12/30/1985City of Fort CollinS BUILDINQ 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
Name ill 7
3
Mail Address CQ
+ Phone
Name , -
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Address
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License No. '-��`
Phone
Lot
Block
Fi,ing Number
ou
Subdivision
/
PUD
DESCRIPTION OF WORK
Stock /� Options
Plan No. /—Cod
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Est. Total Costi�y
(including labor, material, profit)
I hereby acknowledge that I have read this application and
!state that t bove is co rect and agree complyt�ihlldina stat s r i it in
signed date
— CLASS OF WORK —
N&I Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plb?. Mecy a Strtfct. Fire Prot.
EN d❑�Y ❑
Occ. Gr. ft
Type Const.', i F /
Use Zone + ,
Use of Building {
FloorArea C
Height
No. Stories ,�
Lot Area
Frontage ` `
Occ. load -
Occ. Change from
Plat File No f+ /--
No. D.U.
Garage area %
a
Type heat ✓
No. Fi places or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review t i
Special Conditions:
Valuation f y' r FEES
Plan Check
Permit `
i--
Parkland
+
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
z n s:
Storm Drainage
Undergroundal
[Electric
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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4¢
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. 1--A0proval
by date
Permit No.
Date