HomeMy WebLinkAbout244 N College Ave - Permits/Addition or Alteration - 10/24/1987City 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 C D !
Name LZ r
`m
Mail Address/F�?) 0
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v
" Phon 3— 8
Name �Aec/�
o
Address
as
7C7 L s o too
U
h2
License No.�2 6& Q Phone 417
Contractor Sales Tax No. _ 7
Lot
Block Filing Number
b.v
Subdivision
°
PUD
v
Parcel
DESCRIPTION OF WORK
O e —a& Tc
Stock Options
Plan No. Codes
Est. Total Cost d Q o
(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 date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. 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
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
,c /
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
to
Off -Street Parking
Interior Lot
Corner Lot
Reversed Corner Lot
(No. Gars)
❑
❑
❑
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CHCK 1
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ZSA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
�79/
/o/z v/gT
Permit No.
Date
Distribution'. Original - Applicant Blue - Office-, Canary - Sales Tax;.Pink - Applicant, Tay - Bldg. Insp.
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 ; A, ( 6 t. --�
/!j-1)
)
'C
i7^�
Mail Address f L! G.S C
Phoney
Name y/f'� fT Z f^ 'C J% I
o
U
Address
r"f;.1L 5 i� TGc��I
U
License No. ".i t ; F
1 Phone
Contractor Sales Tax No.
c
4
n
Lot
Block
Filing Number
Z.3
Subdivision
0
PUD
m
Parcel H
DESCRIPTION OF WORK
/-
/
J4, 7-< /t
Stock Options
Plan No. Codes
Est. Total Cost ) 1-6' GG`
(including labor, material, profit)
I hereby acknowledge that I have read this application and
$$late that the above is correct and agree to comply with all city
I5rdinances
and state laws regulating building construction.
-%
signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ Cl ❑
Ping. Mach. Elec. Struct, Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Height
Lot Area
Frontage
=Change
Occ. Change from.
No. D.U.a
Fin. Bsmt. areallo.
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 Taxt
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total,Fees
Orsvibmron: Original - ApphcanlrCanary-Iaales Tax: Fink'- ApP(11a01 Tag - Bldg. Igep.
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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`w
a
rn
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N
0
_JLL
Street
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0
0
ro
ZBA Cases
Date
BBACases
Date
Building Insp. Approval
by date
Permit No.
Date