HomeMy WebLinkAbout4213 HUMMINGBIRD DR - PERMITS - 7/23/1984`__ . , '$; •-`^,Y...•...---- r:.:.•-+ ...rv.--ti.�_Y;` ,u�.... -'.'.'---_Yl'• cl-� ' - r•, -. •.. ..- - - -- . . — __ v--• -- "I •,-..,-. -
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 c_- f
Name
Mail Address i f
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f1. E't C C ems.dv S �n
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Phone
Name
m
Address
c
0
U
—
License No.
Phone
aLot
(Block
Filing Number
N
Subdivision
°
PUD f
d
J
DESCRIPTION OF WORK
✓ e
Stock Options
PlanNo.__ _. Codes --
Est. Total Cost s`� /- f9t7. ®p 11
(including labor, material, profit) r
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.
. :•i
signed at
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_ i i t�'. i ,. 5
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ 'O• ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ fJ ❑ ❑ ❑
Occ. Gr.1.. 3 1
Type Const. ',,;;;!
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. 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
Ptan Review
Special Conditions:
Valuation _ _ FEES
Plan Check
Permit
Parkland
City Sales Tax
_
-
St. Oversizin_g__
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fee Is
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
.0
m
m
m
W
^�
inm
in
r
0
fi
Street —
-
f? a 71 •
C
O
ca
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
y Permit No:, `;
Date
Dist, hUhon: On mal - A hc.ant, BlUe -'Office: Canar Sales Tax Pink - Applicant licant Tag Bldg. Ins . `'�- - i • j '`• '—� 9 PP Y- {F 3- 9� 4