HomeMy WebLinkAbout2723 W Lake St - Permits/Addition or Alteration - 10/03/1988. _�.. - • k;;,�ti..:-a4,;�car�fsF•c�=�.:'�'�`rotes:-rht.,F"'�%fi�`*�:"�.ir--� :.,. ._ .. t�'�`;"s�..,�.�.€9�-u"1�3sFv+`�s'�fa"'£$G"'�-'v��-Grx"�r'�i�C °,•�'`=�v.M ����,_:..',::
City ®f Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 2 '
Name
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Mail Address
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Phone
Name
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Address
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License No.
Phone
Contractor Sales Tax No.
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Lot
Block
Filing' Numb'�er
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Subdivision�r
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PUD
Parcel #
DESCRIPTION OF. WORK
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Stock -;Options
Plan No. Codes
Est. Total Cost
(including labor, material,`profit)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
F�
signed date
— CLASS OF WORK
New Alteration Addit on Demolish Move
❑ ❑ .QS_ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ Viot❑
Occ. Gr.
Type Const.
U e Zone
Use of Building f{
Floor Area
l Height
No. Stories
Lot Area f`,:, ' y t
Frontage
Occ. load
Occ. Change from 3 !
i
Plat File No: ;_ %
No.�D.0 � a
Garage area r /I'Fin.
Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES - Dates
Zoning Vc-
Engineering
Fire Department
Etedtrir Department
Vvlaaler .& Sewer
/
Plan Review'- ` j$ , "It,
Special Special Conditions::.{ ?
Fr
r:r
4
Valuation FEES
Plan Check .+
Permit
F y
Parkland
7
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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`. t emu_
Street
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.' 77
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by
date
CH
Permit No.
Date
Distribution: Original - Appliclaant: BI�`- Offico::E anary ales fax:.Ri`nk `- Applicant: Tag - Bldg. Insp.