HomeMy WebLinkAbout4318 KINGSBURY DR - PERMITS - 5/20/1985of 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,
Name
Mail Address i%oo $ Yor�emi. a 00
O
Phone 773-1100
Address
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U
D2nver, 6B Hrjf
License No. _
Phone771+-Ilnn
Lot Block 2 Fiting Number 4
IS,
Subdivision Golden Mgdays
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PUD
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DESCRIPTION OF WORK
I
Stock Options
Codes
Plan No. ��r✓,�
q
Est. Total Cost �z / Plot)
lincluding labor, material, profit)
I hereby acknowledge that I have read this application and
stale that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
'sign€S•. ^ ' f�J' T/ date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec.- Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. R-3 Type const. v
Use Zone L
Use of Bui713,
CFloorAreaeight 241411
No. Stone�'
Frontage �SOcc.loadfromPlat
File N.
D.U.Garage
ar.
Bsmt. area
Type heatgn^.
Fireplaces or stoves
— RELEASES — Dates
Zoning -/J/ %3 Y f' It
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation - FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
,d' ..
IF
Sewer Plant Investment
Q
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
Corner Lot ❑
Reversed Corner Lot ❑
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Street �-s- - Nor i.t vlif•.�t-i`
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YK1't7� WJU. `.. Ll
PKFEE 625.00
Tf3XPti 910.25
STOVR 249.00
VGEItC 279.00
TOTL 2514.15
PtlfCt'. 3+ y 21`1
o N96987 12: J� T `A ' 7.,1)0
MAY.21'85
B 0Cr1j26 ? (t'rl4 A
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> feT'R. nKtJ
ZBA Case # Date
BBA Case # t-I E Date
Building Insp. ��L L_�Approval
by;01 date
rtt
w .�✓
Permit No.
Date
C_
DislnbutIon. Original -Applicant, Blue - Office. Canary -Sales Tax. Pink - Applicant Tag - Bldg_ f nsp_
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