HomeMy WebLinkAbout825 TIMBER LN - PERMITS - 5/21/1984City 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
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Name
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License No. Phone
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Lot Block
Filing Number
Subdivision
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DESCRIPTION OF WORK
Sit die lyi S#: Aq ha rise
-
Stock Options
Plan No. — Codes_
Est. Total Cost
lincluding labor, material, 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.
signed date
— CLASS OF WORK
New Alteration A,ddi n Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. OrElec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const. -'
Use Zone
Use of Building
Floor Area —
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Chainge 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
_
St. Oversizing
_
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution Original - Applicant. Blue- Orrice: Canary -Sales Tan Pink - Applicant. Tag - Bldg Insp
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
Building Insp. Approval
by date
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Permit No.
Pate