HomeMy WebLinkAbout919 SANDY COVE LN - PERMITS - 10/22/1986City 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
CL
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c
Mail Address
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O
Phone
Name
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0
Address
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License No. Phone _ Z
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Lot
Block
Filing Number
Subdivision
PUD
m
Parcel #
DESCRIPTION OF WORK
Stock Options
in No_--_ Codes
Total Cost
labor, material, profit)
acknowledge that I have read this application and
he above is correct and agree to comply with all city
and state laws regulating building construction.
Signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
q ❑ ❑ ❑ .- ❑
PlQbg. Mech. Elec. Strut., Fire Prot.
Occ. Gr. .=:.I Type Const.
Use Zone
Use of Building
Floor Area j
Height
No. Stories
Lot Area
Frontage.
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Bsmt. area
Type heat i
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
stribunon Original - Applicant, Blue - Office: Canary - Sales Tax. Pink - Applicant. Tag - Bldg Insp.
Off -Street Parking
(No. Cars)
Interior Lot
El -
Corner Lot
❑'
Reversed Corner Lot ❑
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Street_.
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0
a
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
bydate
by%
h
Permit No.
Date