HomeMy WebLinkAbout818 WHALERS WAY - PERMITS - 3/31/1987City of e 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 - J <..-'
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Phone
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Name _ _. ,.. •. _ ...:
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Address,:: - . C
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License No._.�--� ' 1%`
Phone
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Lot
Block
Filing Number
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Subdivision
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PUD
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost - -�
(including labor, material, profit)
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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 date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑: ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Corral Use Zone
Use of Building -
FloorArea
-Height
No. Stories -
Lot Area
Frontage
Occ. load
Occ. Change from -
Plat File No.
No. D.U.
Garage area -
fin, Bsmt. area
Type heat .-
No. Fireplaces,or stoves
— fIELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer ,
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
.otal-Fees
App,c.nr. Bhu Office. W6'T.s P,nk A i-al, TagB"dg.<sp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
.❑ -
Reversed Corner Lot
❑
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Street
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ZBA Case #
Date
BBA Case #
Date
BuildingInsp. - Approval
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by `--i date
2� 9y
Permit. No.
Date