HomeMy WebLinkAbout600 DARTMOUTH CIR - PERMITS - 8/26/1986City 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 [)``(__ i tti c i.-l.- 6 w i
Name
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Mail Address �O£, LJ0. r+titinc:f^
Phone L4q --] /2
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Name}"- ILA g �,�
Address "?'Z(P L�n.Ad.c/ -
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C� r f � �
l License No. S — I C'j Phone y gz -S ct (F
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Lot
Block Filing Number
u
Subdivision
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N
PUD
7 r9�
Parcel # 9'7ZC( J -- 2- —v� 3
DESCRIPTION OF WORK
Stock Options
Plan No,—_.
Est. Total Cost j'4 ' C U
(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 regulator bull g constrµCtion.
- -- -//
I signed date/
— CI
OF WORK
New Alt a
❑
Addition Demolish
❑ ❑
Move
❑
Plbg. Mech.
❑ ❑
Elec. Struct
❑ ❑
Fire Prot.
❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
.17
--------------
No. Stories
Lot Area
F in e
Occ. load f.
O
h fr m
Plat File o.
o D.
Gara are
T pe heal
N . Fireplaces or stoves
—
RELEASES —
Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation Z
FEES
Plan Check
Permit
Parkland
City Sales Tar.
St. Oversizing
Water Plant Investment
Sewer Plant Investment
--- --
Storm Drainage
--- ----
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
_r
a
m
`m
11
It
0
0
LL
vV
Street
_
c
0
i
ZBA Case #
Date
SEA Case #
Date
Building Insp.
provai
by date
Permit No.
Date
Oistr. buPon'. Original - Appl,can! Blue - Office Canary - Sales Tax Pink - Applicar;C 71ag Bldg. Insp.