HomeMy WebLinkAbout1126 Mchugh St - Permits/Reroof - 06/30/1987City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmlyusingball point pen.
Job Address //q^ /Y!C I/4G 4 6*x
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Name 4LkQ t
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Mail Address
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Phone
Name S
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Address
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License No.
Phone
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Lot
Block
Filing Number
Subdivision
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PUD
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Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost 0
(including labo material rofit)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinannccees� and state laws regulating building construction..
' signed 7da�
— CL
SS OF WORK —
New Alta ra n
❑
Addition Demolish
.❑ ❑
Move
❑
Plbg. Mach.
❑ ❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr.
Z neUse
of Building
FloorAreaeig
4Const.
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No. St s
F
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O c. I
Plat Fi o.D.U.
Garage area
Fin. BsmL area
Type heat
No. Fireplaces or stoves
—
RELEASES —
Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
.ate
Valuation
FEES
Plan Check
Permit
Parkland
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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Street
PRKTS 20.50
TAXPM 19.61
TOTL 40.11
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CHCK 4
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M21366
14:56 A
JUN.30'87
ZBA Case #
Date
BBA Case #
Date
Building
Insp.
pproval
by
date
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Permit No.
ate
.11
Distribution: Original - Applicant. Blue - Olticel Canary -Sales Tax: Pink -A prilicand: Tag -Bldg. Insp.