HomeMy WebLinkAbout169 N College Ave - Permits/Addition or Alteration - 11/29/1983' :•.fi\ �h .i .i.. GJ ,. `: .y�'1r.'. ate. .: �."-t --.--. -. ".�..�:�i.,�f ��l •-R' ,/.�.� ry `hH. �
rt 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 q1 I
Name
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Mail Address--
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Name
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Address
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License No. �,�.`
Phone 22.Lj5
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Lot
Block
Filing Number
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Subdivision
PUD
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DESCRIPTION OF WORK
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Stl ck Options
Plan No- Codes
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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
or6mances and state laws regulating building construction,
signed" t hate
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ o ❑ ❑ ❑
Flog. Mech. Elea Struct. Fire Prot.
❑ ❑ ❑ ❑ Ej
Occ. Gr.
Type Const.
Use Zone
Use of Building L�, , __ _ i-, -, i
Floor Area t� < i _ f
Height
No. Stories
Lot Area
Frontage
Occ. load
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Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. 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
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Parkland
City Sales Tax
_
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
TotalFees
Off-Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot Cl
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Street
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ZBA Case k
Date
BBA Case k
Date
Building
Insp. Approval
by
date
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Date
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