HomeMy WebLinkAbout614 E VINE DR - PERMITS - 1/18/1989City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PE"T AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address /4 Y/NE D /
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Name L,Q /Mr. [,RUNT
Mail Address 2 al( S
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Phone = 1- ?000
Name cipAn III c 4F C,rr ILc4lcrdre C
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Address 70Q t p Rr4 FI T7D.V LScVd
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License No.
PhoneZg y_psry
Contractor Sales Tax No.. S
a
Lot
Block
Filing Number
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Subdivision
O
a
PUD
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Parcel8
DESCRIPTION OF WORK
lot w; W ic c 144.0 it -to
Moro / PC Y r✓r- , S
Stock Options
Plan No. Ll Codes
Est. Total Cost - 11 �b
(including.labor,
labor, aterial, 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.
//P,r
signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
_
PIlb . MOh. Ele❑ E. 'Str❑Et. Fire Prot.
41
Occ. Gr. Type Co e
Use of Building l
Floor Area Height
No. Stories
L t
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
Plan Check
Permit'
Parkland
City Sales Taz
ad I r
St. Oversizing
Water Plant investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking -
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
a
Ni
io
cc
a
in i in
0
LL
"J
Street
TC^� J;ieif-'
a 'AN, IT S
W
A
ZBA Case p Date
BBA Case 8 Date
Building Insp. 15 Approval
by 14, sate
08qD/qz-
I i118lag:.
Permit No.
IDate
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Distribution : Original - Applicant. Blue - Office. Canary - Sales Tax. Pink - Applicant. Tog - Bldg. Insp.