HomeMy WebLinkAbout4249 KINGSBURY DR - PERMITS - 10/2/1987City
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 � 1 A16 -5 (1_
Name ""A LIG►JEir-
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Mail Address.
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1 Qfa ll 12 c2
6C6:2_1 , Phone ZZ& . 298D
Name
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Address
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License No.
Phone
Contractor Sales Tax No.
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Lot '�
Block '
Filing Number
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Subdivision L) oo
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PUD
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Parcel # O d _5 0_/ S _ 0 1 CD
DESCRIPTION OF WORK
�R-ot 2 Ss�ae,ss
Stock Options
Plan No. Codes
Est. Total Cost t
(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.
silip netl date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Pfbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Or. Type Const.
Use Zone
Use of Building
Height
Lot Area
Frontage
4floorArea
Occ. Change from
.
No. D.U.
Fin. Bsmt. area
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
CD
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No. Corsi
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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Street
PRMTS 44.50
N23918 09:17
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OCT.01'87
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ZBA Case #
Date
BSA Case #
Date
Building Insp. Approval
by date
2.7749
/0 7-187
Permit No.
Date
Distribution: Original - Applicant. Blue - Office: Canary - Sales Tax: -Pink - Applicant: Tag - Bldg. Insp. I
50