HomeMy WebLinkAbout968 RICHMOND DR - PERMITS - 6/28/1988City 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 4Iae JetA
Name �L
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Mail Address 3G5; li�ji-JMAIILL- NZ- _
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Phone-ZvZ33
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Name Cu rhl
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Address�—
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License No, C
Phonf2_!:!_�,_ 3'33
Lot %ct c l� 6 Block Filing Number
Subdivision erg e2 _yam
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PUD +�'Wf pr►YS .4iL.Lill &-r
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Parcel # (. AkJ64iWj&k4, vt
DESCRIPTION OF WORK
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Stock Options
Plain No. .__ Codes_ -..
Est. Total Cost _ or)
(including labor, m—ailbrial, profit)
I hereby ackno edge that I have read this application and
hab i correct and agree to comply with all city
stale jancs�8n
or s laws regulating building construction.
signed date
— CLASS OF WORK —
e Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area �14((r-
Frontage
Occ. load
Occ. Change from
Plat File No. "%3 -Ct - -
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoningl
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
1, 17
Distribution Original - Applicant. Blue - Office. Canary - Stiles Tax. Pink - Applicant Tag - Bldg. Insp.
/2 0
Off -Street Parking
(No. Cars)
Interior Lot
Eli
Corner Lot
❑
Reversed Corner Lot
❑
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Cc
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Street
0
0
70
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
j
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Permit No.
Date
41