HomeMy WebLinkAbout419 E Olive St - Permits - 07/16/1986City 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 41C4O
Name la
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Mail Address 3U
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Phone
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Name�-
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License No. _
Phone
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a
Lot
Block
Filing Number
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Subdivision
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M
PUD
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Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
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
ordinances and state laws regulating building construction.
signed date
— CLASS OF WORK —
a
New Alte ion Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mec . Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. If
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
Parkland
City Sales Tax
St. Oversizing
- �-
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total F2ts
Distribution: Original - Applicant. Blue - Office'. Canary - Sales Tax. Punk-_ Applicant, Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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ZBA Case # Date
BBA Case # Date
-8uiIchrrg-1nsp. Approval
by date
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Permit No.
Date