HomeMy WebLinkAbout919 SHORE PINE CT - PERMITS - 7/30/1987City 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 wu"
Name
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Mail Address
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Phone
Name
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Address
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License No. : Phone
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Lot {
Block
Filing Number'
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Subdivision
PUD
Parcel #
DESCRIPTION OF WORK
4J
Stock Options
PlanNo.____
EstTotalCost _j__
(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 state laws regulating building construction.
-- -Signed ------------- date --
— CLASS OF WORK
New/' Alteration Addition Demolish Move
CY ❑ ❑ ❑ ❑
_
Plbg. Mech. Elec. Struct. Fire Prof,
❑ ❑ O ❑ ❑
Occ. Grp
_
Type Const. �''- i Use Zone
use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No. wi;
No. D.U.
Garage area r f :
Bsmt. area j /f
Type heat
No. Fireplaces or stoves %
— RELEASES — Dates
Zoning `.
Engineering
Fire Department,.,
Electric Department
Water & Sewer
Plan Review >
Special Conditions.
t �
Valuation i - FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing - -----
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fe6s
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LL9trlbOtion. Original; Applicant Slue - Oltice, Canary - Sales Tan. PlnF - Applicant; Tay - Blpg. 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
BRA Case #
Date
Building Insp. Approval
by date
7616 6
Permit No.
-74/?7-,
Date