HomeMy WebLinkAbout913 ASHFORD LN - PERMITS - 6/20/1989City 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 (-� -`D K—L Pt (J; e'
Name ' R,0Jr
cMail
Address 5" D- v�. 2 p S r- L
3
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--'•y---F-� _P
Phone
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Address
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N
Sy367
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Licen6e No.
Phon
Contractor Sales Tax No.
Lot 39 Block Filing Number /
6.1 Subdivision C' s'evIkA75 tY�5
o
PUD
Parcel k
DESCRIPTION OF WORK
F
SE IN 6,, LC T7 i!Y. rA l L-Y 4-0M
Stock ` Options
Plan No.T Codes
Est. Total
(including 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 stale laws regulating building construction.
signed date
— CLASS OF WORK —
Njr Alteration Addition Demolish
❑ ❑ ❑
Move
❑
Plqg. M c . El Stru .
�I
Fire Prot.
❑
Occ. Gr. Type Cons)•, VE
I Use Zone
Use of Building t1
Floor Area
Height
No.
S��
Frontage
�-LoIcACea
Occge
from
Plat File No.
No. D.U. /
Garage area ice(
4' Bsmt. area / r o
Type heat
No. Fireplaces or stoves
— RELEASES —
Dates
Zoning 1 •y'Gb
Engineering 1 -
Fire Department j
Electric Department
Water & Sewer
Plan Review
Special Conditions:
i or
Valuation ri^ FEES
Plan Check
w_-
Permit
Parkland
X7
City Sales Tax
' 'r
St. Oversizing
to 2
'
Water Plant Investment
Sewer Plant Investment
1
Storm Drainage!7 •<i ,7
Electric Underground
17
Total Fees
platribuoon Original - Applicant. Blue - Office. CbnaF 7 Sales Tax —Pink— Applicant. Tag - Bldg Insp.
Off -Street Parking
(NI, Caisl
Interior Lot
Corner Lot
Reversed Corner Lot E
i tO
ed
d
I
f i l-Y
N
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3' c
0
'V¢
Street
0
a
ZBA Case It
Date
BBA Case If
Date
Building
Insp.
Approval
by
date
Permit No.
Date
IN