HomeMy WebLinkAbout4620 S College Ave - Permits/Demolition - 08/03/1987City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERAAIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name
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Mail Address�o/CO
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Phone307.7')—Cj
Name V
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Address
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License No. — Phone Ltq?j—(
Contractor Sales Tax No. —2-' 3 L.t
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Lot
Block
Filing Number
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Subdivision
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PUD
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Parcel fl 2-_6 -- 028
DESCRIPTION OF WORK
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S e wt
Stock Options
Plan No. ,sCQQes
Est. Total Cost wc��
(including labor, material, profit)
- I hereby acknowledge that (have read this application and
state that the above is correct and agree to comply with all city
ordinances and state s regulating building construction.
- eofa
signed date
— CLASS OF WORK —
New Alteration Addition Demolh 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 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 Fees
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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ZBA Case #
Date
BBA Case k
Date
Building Insp Approval
by date
2�Z7
Permit No.
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Distribution: Original - Applicant: Blue - Office. Canary - Sales Tax:.Pink - Applicant: Tag - Bldg. Insp.
city
ah
of Fort co111nS 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
Name
m
Mail Address fplU TG.I�04r�iT�lnC
Wf �Z�77
J.N a Y
—if
jz__�i,16 �(S, Phone��_?7t—Lw�,
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Name Nr kA k t�7 ma's 140c l
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Address n 'm C1
90SG z7-
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License No
Phone
Contractor Sales Tax No. _2% 8 Ltt
Lot
Block
Filing Number
a,
Subdivision -
PUD
Parcel # 7(7GJ Z -0S - C,
DESCRIPTION OF WORK
e A^t.J G 63414 f lvtAi
- �yy
I t" 1
l
/t
o- fi x
Stock' Options
Plan No. Codes
Est. Total Cost
(including labor, material, profit)
I hereby acknowledge that I have read this application acid
state that the above is correct and agree to comply with all city
ordinancesand state +laws regulating building Construction,
&� i3i� ���
d d�� A
• - sigmd �_ - \` dated )
— CLASS OF WORK —
New Alteration Addition Demolish
❑ ❑ ❑ ❑
Move
❑
Plbg. Mach. Elec. Struc .
❑ ❑ ❑ ❑
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 Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
n
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground n
Tat 419ees
0isbibUt"on- Onginal-Applsant_ BI e� OfLde: Canary -Sales Tax:.Pink.- Applicant, Tag - Blag l p. V
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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`m
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V
d
1
m
c
0
Jfi
Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. / / e��Approval
by /Jy- date
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