HomeMy WebLinkAbout2110 W Elizabeth St - Permits/Addition or Alteration - 11/05/1986-,. v! i - �.. � '"'; _-�, . _� (-..i -�'�-R•✓�i�-, �...ti^r'',i_ 4 �,...� 1-.... y'���."' ^v`�.-- R'r'•_l%^'�.:: �.i
City of Fort Collins BUILDING INSPECTI N DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY ,
Applicant -m lee to �•orfo� n V
Pre_ y' ins tp_ { [1
Job Address::,
Name
c.
Mail Address m
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Phone f
t'
Name _
m
Address
C
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License No.
Phone
a
Lot
Block
Filing Number
N
Subdivision
°
PUD r ,
m
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost = =q f
(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
ordinances and state laws regulating building construction.
."signed `F tf� �, •. dated—��
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CLASS OF WORK —
Alteration Addition Demolish Move
E1 ❑ ❑ ❑ ❑
Plbg. Meth. Elec.❑L Stru t. Fire Prot.
❑f' ,❑
Occ. Gr. ✓ �`
Type Const. V— r/I
Use Zone 6
Use of Building
Floor Area
Height
No. Stories 1
Lot Area-, #
Frontage
Occ. load
Occ. Change from
Plat File No. 7.ti a
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning c,. �t�
Engineering •_, ) f
Fire Department4 ,l
Electric Department
Water & Sewer
Plan Review
Special Condiiti_oFns _
Valuation FEES
Plan Check
+ f _ C,)
Permit
€_ TZ
Parkland
City Sales Tax
71, ! "a
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
7
Electric Underground
TotaNFees- 1 " t-.
Tag -Bldg. 1 .
Distribution: Original - Applicant `Blue -'Office; Canary - Sales jTax: Pi`n k''=-Applicant; Tag -Bldg. Insp.
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Off -Street Parking
(No. Cars)
Interior Lot
Oy
Corner Lot
❑
Reversed Corner Lot ❑
r
m
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3
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(75
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ti
Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. "`` Approval
by `
°y date
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4- __Permit No.
Date
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