HomeMy WebLinkAbout2524 Mathews St - Permits - 12/06/1999 (2)�lty 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 _ ..f . S-
Name G `',
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Mail Address
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Phoney - j; �r d,•,
Name
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AddressCW
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,Phone
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License No. � c5 (Y f�
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Lot Block
Filing Number
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Subdivision
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PUD
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Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
--
V. , _O
;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.
sgned date
— CLASS OF WORK —
New AI erati Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Me 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. a
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
fA-: -• P
Parkland
City Sales Tax
St. Oversizing
'
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees --" -
DistributionOriginal -Applicant. Blue - Office, Canary -Sages Tax: Pink - Applicant.. Tag - Bldg. Insp. -.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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ZBA Case #
Date
B BA Case #
Date
Building Insp. " Approval
by date
`x,Permit NcC