HomeMy WebLinkAbout836 HINSDALE DR - PERMITS - 12/16/1987City 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 r r z
Name
Mail Address ,.
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Phone
Name 44 lot 41triac ,
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Address
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0
O
License N0.
Phone
Contractor Sales Tax No.
c
4
a
Lot ��..
Block
Filing Number
y
Subdivision v
PUD
Parcel #
DESCRIPTION OF WORK
Y
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.
Y [�
— CLASS OR WORK
New Alteration Addition Demolish Move
Pl,bMach. Elec. Struct. Fire Prot.
❑
Oco. Gr.
Type Cons): "%
Use Zone
Use of Building
Floor Area ir Ir f t
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U. f
Garage area
Bsmt. area ICJ
Type heat
N Fireplaces r stomas,.
— RELEASES — Dates
Zoning
C
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
P�C �
Valuation J FEES
Plan Check
;.
Permit
-
Parkland
City Sales Tax
St. Oversizing
Q "
Water Plant Investment
Sewer Plant Investment
"
Sto mn Drainage
/t,..G
Electric Underground
?
Total Fees
Distribution. Original - Applicant, Blue - Office', Canary - Sales Tax'. Pink - Applicant. Tag - Biog. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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to
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IV
E
m
v
y r
0
zo
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
91
2// G/
Permit No.
Date