HomeMy WebLinkAbout505 S Shields St - Permits/New Commercial - 07/30/1985City 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 �505 r ; odd
Name
c
Mail Address
3
O
Phone
Name
`o
U %�1 O
Address
c
0
U
License No. Phone
Lot I Block Filing Number
aSubdivision
PUD
m
J
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 —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plb Ill Elf Struct. Fire Prot.
OL ❑ ❑
r
Occ. Gr.
Type Const. ' Use Zone ,
Use of Building
Floor Area
Height
No. Stones
Lot Area
Frontage
Occ. load
Oce. 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 Reviel
Special Conditions
FEES
Valuation
Plan Check r'
Permit
Parkland
City Sales Tax
St. Oversizin,
Water Plant Investment
Sewer Plant Investment
Storm Drainarge
Electric Underground
Total Fees
j
Distnbuhom. Original - Applicant, Blue'.- Otfip'e: canary, Sales Tax: Pink - Applicant Tag'- Bldg. Jnsp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
_A
ti
m
`m
m
2
_xv
( f
�
� m
rn
}
0
LL
Street
c
0
a
ZBA Case #
Date
BBA Case #
Date
Building lnsp. Approval
by
date
Permit No.
Dare