HomeMy WebLinkAbout215 E Foothills Pkwy - Permits/Demolition - 10/10/1986�i
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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 Zj'� r t ,.. a...r... r��t
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Name _r
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Mail Address �
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Phone 2.2_2>_ 3(:.: �
Name %•r:rmr-re r_•
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Address
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License No. � - C {C3
Phone?` 1 - 4t.0U
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Lot
Block Filing Number
Subdivision
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Parcel# C'�
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DESCRIPTION OF WORK
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Stock Options
Plan No. ( Codes
Est. Total Cost / � Ur%U•�
(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 1 <\ ) G._.,, C-( dater-
— CLASS OF WORK —
I New Alte(atigrF Addition Demolish Move
❑ Qr ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Heigfit .� 1
No. Stories
Lot Area ��----� Frontage ~ /
Occ. load t
Occ. Chtanga,from" t '
Plat File Nod /��+! Y y
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: --. — - - -
_s-
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
/"f/
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground '
Total Fees __ tom\--i
1
Disrnbubori:Original- Applipa`f el e-Otice',C_nary-SaI�Ta:Pink Applicant, A-"gldg.lnsp.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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ZBA Case # Date
BEA Case It Date
Building Insp , ": .,..-Approval
by 1 date
-Permit-No.r.__
+ Date
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