HomeMy WebLinkAbout3224 Lymen Ave - Permits/Addition or Alteration - 03/10/1987City ®i 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 312%Imew
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Lot Block
Filing Number
Subdivision
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DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est. Total Cost
(including labor, material, profit)
edge that 1 have read this application and
correct and agree to comply with all city
ola s egulating building construction.
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signed date
— CLASS OF WORK —
New AI rati -
❑
Addition Demolish
❑ ❑
Move
❑
Ibg. Mech.
❑
a Struct.
❑
Fire Prot,
❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Heig
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No. Stories Lot Area
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Occ. load
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Plat File
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Garag -
n. 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
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage'
Electric Underground
Total Fees
I
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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TAXPM 20.63
TDTL 54.38
CHCK 5
N97829 17:31 A
MAR.10'87
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ZBA Case# Date -
BBA Case # A Date
Building Insp. pproval
by
date
Permit No.
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Distribution-. original -Applicant. Blue - office: Canary -Sales TaA Pink - Applicant Tag - alag. Insp.