HomeMy WebLinkAbout4342 CAPE COD CIR - PERMITS - 10/20/1986�...,•�-s'.: -.•- �;:°yam, x ,..5� ..._ �5 i. ;... �•p.:.;}8..;. a..._._.0 . ..r.. � ; ,:.:. y... •- r � _ � -. "n.. ... -� . ' . , . r ,.. r' ..... -. -, :. ..
City 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 A7`L CG .e 000t .f�YC;
Name '? .
a
Mail Address
Phone
Name
;
Address
m
U
License No.
Phone
a
Lot Al
_
Block
Filing Number
y
Subdivision -
ro
PUD
rn
Parcel #
DESCRIPTION OF WORK
Q,Y Q:
t�• rT
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.
signed l date, 3
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— CLASS OF WORK —
New Alteration Addition Demolish Move
Plbg. �'` Mech. Elec. Struct. Fire Prot.
❑✓ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
k
Use of Building
FloorArea
"Heightf\,<
No. Stories
Lot Area -
Frontage
Occ. load
Oco. Change from
Plat File No.
No.rD.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 r<` ~ ' FEES
Plan Check
Permit
r
Parkland
City Sales Taxi!
, F`
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
-Total Fees-•-..-,4-
Distribution: Original - Applicant; Blue ; Oftice Canary Z-Sale�s `Tax: Pink' -.Applicant; Tag = Bldg.lnsp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
m
co
m
�IV
CO
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0
ti
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Street
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ZBA Case #
Date
BBA Case # t
Date
Building Insp. j'r'
Approval
by J
d ate
Permit No.,, !
Date