HomeMy WebLinkAbout6001 SOUTHRIDGE GREENS BLVD - PERMITS - 1/7/1986City 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
Name
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Mail Address* 87ry
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Phone
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Name
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Address �p
,05
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License No.
Phone _;I3 9..a •,
4
Lot C2
Block'%
Filing Number
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d
Subdivision l"r t1 t4ejC 'v
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PUD rr
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost %.Sgj coo - po
(including labor, material, profit)
I hereby acknowledge that I have read this application and
state that the above {s correct and agree to comply with all city
ordinances and state laws regulating building construction.
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signed ; date.
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— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. ;
Type Const. g
I Use Zone
Use of Building
Floor Area_'_ ! ` f (
Height
No. Stories
Lot Area i j
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Earl area r
Type heat ( !' i`
No. Fireplaces or stoves /
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
1ex4* Qo
Valuation FE J
Plan Check`
t
Permit
=7'-i_,
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
f "'
Electric Undergrounds - r
Total fees ,
Di5lribuliorc. Original - ApplicanC Blue = OIfIC ,Canary -Sales Tak4 Pink 'App it»M Tag - emg. Insp.
Off -Street Parking
'
(No. Cars)
Interior Lot
7
Corner Lot
❑
Reversed Corner Lot
❑
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—ILL
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7
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Street
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ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
Permit No.
Date
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