HomeMy WebLinkAbout617 TULANE DR - PERMITS - 10/8/1986City of Fort Collins BUILDINP INSPECTION DIVISION
APPLICATION FOR BUILDING PERAAIT 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
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Phone
Name o u C A-rcw ,Q
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Address
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License No. Phone ,;;ry
Lot
Block
Filing Number
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Subdivision
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DESCRIPTION OF WORK
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Stock Options
Plan No Codes
Est. Total Cost —_— - - -
(including labor. material, profit)
hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances and stale laws regulating building construction.
signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Dec. 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 Tax
-
Oversizing
.-
_St.
Water Plant II vestment
Sewer Plant Investment
Storm Drainage
Electric Underground
-Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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0
Street--
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ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
22/3¢
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--Permit No.,
Date
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