HomeMy WebLinkAbout4501 REGENCY DR - PERMITS - 7/11/1985 (2)City of Fort CollinS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
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Job Address
Name-
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Mail Address f_ _
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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
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Filing Number
n
Subdivision
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PUD
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DESCRIPTION OF WORK
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Stock Options
Plan No Codes
Est. Total Cost - r r _
(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 dale
- CLASS OF WORK -
Ne Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire P}ot.
IT
Dec. Gr.
Type_Const.
Use Zone r
64
Use of Building ,
Floor Area ^'r.__ �« ; <
Height
No. Stories
Lot Area
Frontage ?;
Occ. load
Occ. Change from
Plat File No. - -
No. D.U.
Garage area 1
Fin. Bsmt. area
Type heat
No. Fireplaces or stovest
— RELEASES — Dates
Zoning r
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review A t . w
Special Conditions: '.
Valuation FEES
Plan Check f
Permit
f -
Parkland
_
1
City Sales Tax
i
St. Oversizing
Water Plant Investment-`'`
Sewer Plant Investment
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Storm Drainage
U Elecnderground
stric
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dotal Fees
-
Distribution: Original - Applicant. Blue - Office: Canary - Sales Tax: Pink - Applicant. Tag - Bldg. Insp
M
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Off -Street Parking
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(No. Cars)
Interior Lot
❑
Corner L,ot
4
Reversed Corner Lot ❑
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Y
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Cr
Cr
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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