HomeMy WebLinkAbout449 E DRAKE RD - PERMITS - 11/18/1986amity, of IA'ort
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
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Mail Address
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O
Phone
Name
o`
a
Address l
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0
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License No.
Phone f l
C
°
n
Lot
Block
Filing Number
y
Subdivision
m
PUD
lT
Parcel #
DESCRIPTION OF WORK
144PI, r
Stock Options
Plan No.---/�f-,,�—�_ Codes
Est. Total Cost / ✓ ` . e (
(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.
l
signed date 't
— CL S OF WORK
New Alterati Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Dec. I
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories I
Lot Area
Frontage
Occ. load
Dec. change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax ' s'
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
uiscriouuon'. unginal - Applicant, Blue, Office, Canary - Sales Tax: Plnk - Applicant, Tag - Bldg..lnsp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
o
`m
`m
d
m
IV
0
0
LL
Street
c
0
a
ZBA Case #
Date
BBA Case #
Date
Building Ins Approval
date
Permit No.
Date