HomeMy WebLinkAbout4501 REGENCY DR - PERMITS - 11/1/1985City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERAUT AND CERTIFICATE OF OCCUPANCY
A plicant complete this part of form only.
Pr Ifpt
Job Address j,p , eclair Mu.i.
Name H- kourty Villaige J.V.
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Mail Address 2G4U Za. Brea Cyn. tld.#t
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biazmanu nar, Ca 91765
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Phone (714) 661-94
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Name uelair Development Corp. -
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Address ; 937 hastboroug i Drive
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Fort Collins Co. 60525
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License No. G-
Phone 223-1050
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Lot 15
Block
Filing Number
Subdivision
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'elair
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DESCRIPTION OF WORK
Ncaw -( i6tructio i, < l:l.it i,.Air:
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Stock Options
Plan No. Codes
Est. Total Cost _ ' `v , { i . U '
(including labor, material, profij)
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 _ d
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— CLASS OF WORK —
Alteration Addition Demolish Move
PI M h. Elec. Str t. Fire Prot.
el El
Occ. Gr. Type Const. _ t ;'
se Zone r
Use of Building r L j t j4�g
FloorArea O
Height
No. Stories
Lot Area
Frontage J (1t' Iil
Occ. load
Occ. Change from
Plat File No. 5 7
No. D.U. j
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewers�--++��
Plan Review
Special Conditions: �� ��-➢� i �'� I
Valuation FEES
Plan Check
f . . f
Permit
Parkland
City Sales Tax
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St. Oversizing
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Water Plant Investment
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Sewer Plant Investment
-
Storm Drainage
Electric Underground
Total Fees..i- % .
Distribution. Original - A licanf, B'lu nary - Saies'Taz: Pink - Applicant; Tag - Idg. Insp.
l 9 PP - t�Bt
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Off;StreetParking
(No. Cars)
Interior Lot
❑
Corner Lot
a,
Reversed Corner Lot
❑
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Street—
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ZBA Case #
Date
BBA Case #
Date
Building Ins . �� Approval
b�date
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Per '{
Date
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