HomeMy WebLinkAbout215 E Foothills Pkwy - Permits/Sprinkler - 05/26/1984 (2);t..r S ,w
ty 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.
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Mail Address — Ir5 la,�;�� i fi t-• _^ ::r>?ei�[
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Phone
Name `
Address
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License No. Phone . ��•z —'-' ��k
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Lot
Block Filing Number
Subdivision
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DESCRIPTION OF WORK
Stock Options
Plan No. Codes
ESL 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
ordinances and state laws regulating building construction.
signed 4 date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr, Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
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 Departmen9r17f ,,.,<.i�, '�,rj t•A, W 4
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
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Parkland
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City Sales Tax
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St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
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Distribution. Original - APPLcanq.alue -DO�e; Cenar $$ales Tai,l:inl - Fpplicarr6Wgj B�tl�. InW. _h!-1/y 1
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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ZBA Case #
Date
BBA Case #
Date
Building Insp.
Approval
by
date
14375
s-Z6.-S
Permit No.
Date
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