HomeMy WebLinkAbout500 W Troutman Pkwy - Permits - 03/18/1987City 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 So D
Name
Mail Address
3
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,.Phone
Namepa
Address
C
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U
icense No.
Phone
ot -
Block
Filing Number
J
ubdivisionUDarcel
#
DESCRIPTION OF WORK
�S�-ucfio� d R�s�.00n, She/lei^
- 2 3L�{� S
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.
--- --
--- - date
signed
-- CLASS OF WORK —
New Alte'atlon 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. a, --
Type heat
Type
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
r
St. Oversizing
Water Plant Investment
-
Sewer Plant Investment
—�
-
F -
Storm Drainage
Electric Underground
y
Total Fees
.11——, 11,nu-rpplmep' nnia-Unige Canary -SaloeTax:Pink- Applicant. Tag - Bldg Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date