HomeMy WebLinkAbout328 DEL CLAIR RD - PERMITS - 9/16/1986City of Fort Collins
BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERAUT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name
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c
Mail Address
3
O'
Phone - :-
Name
o
Address
c
0
U
License No.
Phone
°
n
Lot
Block
Filing Number
H
Subdivision
m
PUD
m
Parcel #
DESCRIPTION OF WORK
C
Stock Options
Plan No.
DCodes
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 c date
— CLASS OF WORK —
New Alteratiory- Addition Demolish Move
❑ ❑"' ❑ ❑ ❑
PIbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Hight
No. Stories
Lot Area iFrontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Asmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation ! rp FEES
Plan Check
Permit
Parkland
City Sales Tax
6
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total ees _.
uisnmunon'. anginal - Applicant: Blue - Office, Canary - Sales Tax. Pink - Applicant; Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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ro
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I'LL
in
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0
Street
0
ZBA Casb # . . ,
Date
BBA Case #
Date
Building Insp.
,Approval
by date
�ern14 No.- -
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