HomeMy WebLinkAbout925 QUEENS CT - PERMITS - 6/15/1987City
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
Name
Mail Address 3 Z
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3
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Phone 0�
Name
0
m
o
Address
cc
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License No. Vn
Phone
Lot
Block --
Filing Number
s
N
--
Subdivision
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- r
PUD
m
-Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No _— _- -- Codes ---
Est Total Cost -- -
(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 —
N! Alteration Addition Demolish Move
pew ❑ ❑ ❑ ❑
Plb� ,Much/ EIN._ ' StrNi Fire Prot.
Occ. Gr. r Type Const. �se
Zone
Use of Building
Floor Area ;`�
Height
No. Stones
Lot Area "
Frontage .
Occ. load
Occ. Change from
Plat File No. i-
No. D.U.
Garage area
Fin. Bsmt. area ---
Type heat: _ zz
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
t,
Plan Review T
Special Conditions:
Valuation FEES
Plan Check -
Permit — - �-
Parkland
City Sales Tax
St. Oversizing
-
Water Investment
-Plant
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
DistnbuUon. Original - Applicant. Blue - Office : Canary - Sines Tar. Pink - Applicant. Tag - Bldg Insp.
Off -Street Parking
f
(No. Cars)
Interior Lot
Q
Corner Lot
❑
Reversed Corner Lot
❑
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ar
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date