HomeMy WebLinkAbout1020 Luke St - Permits/Tenant Finish - 08/06/1985(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 point pen.
Job Address
Name
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Mail Address
Phone '�'�l'1� _911/n.<
Names f
Address Z,, / k., , r.;pn.mwAl V
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License No. q-_ z6)
Phone
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Lot �/_,. � Jr a?
81ock
Filing Number
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0
Subdivision
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PUD
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DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est.TotalCost ,� .�-Sl Pk
(including labor, material•protit)
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.
--
sig� _ date
— CLASS OF WORK —
New Alteraon Addition Demolish Move
❑ 13❑ ❑ ❑
Plbg. Mbc Elec. Struct. Fire Prot.
❑ ❑ ❑ O ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height 1
.No. Stories
Lot Area
Frontage
Occ. load Dec. Change from
Plat File No. 0�, -tf No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
.�d 7 {
Plan Review � Ia r7 K M
Special Conditions:
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Valuation FEES
Plan Check
Permit
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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 ❑
1 Y
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
byy/ date
Permit No.
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