HomeMy WebLinkAbout322 Garfield St - Permits/Demolition - 04/09/1987C
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 poi t pen.
Job Addresas zz— 4
Name y
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Mail Address ® r'
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Phone —S3'
Name ^�
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Address
C
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License No.
Phone
4
Lot
Block
Filing Number
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Subdivision +
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PUD
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Parcel # "
DESCRIPTION OF WORK
r J
Stock Options
Plan No Codes
tr
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 ali city
ordinance d Slate laws re acing building construction.
s n d ate
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ Cl
Plbg. Mech. Elec. MrOct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Height
Lot Area
Frontage
Occ. Change from.
=Change
No. D.U.a
Fin. Berl areallo.
Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation
Plan Check
Permit
WFEES
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
❑
m
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EC
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9
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Jli
Street
PRMTS
10.00
TOTL
10.00
CHCK 1
N99917 16:34 A
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APR.10'87
ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
Permit No.
Date
EE
Oistribullon'. Original Applicant. Blue - Office: Canary - Sales Tan: Pink - Applicant. Tag - Bldg. Ins,