HomeMy WebLinkAbout511 E Prospect Rd - Permits - 07/20/1988City 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 5j Pros pc,
Name
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Mail Address 1 �
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Phone 22j-HI[4
Name .N:.'le„-n..� L_�L�wr -----
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Address
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License No. S_ 7 3.E+ Phone 6GD
Contractor Sales Tax No.
2
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Lot
81ock
Filing Number
N
Subdivision
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PUD —i
Parcel It 9 7— 2 `/2 — D/ — l
DESCRIPTION OF WORK
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Stock Options
Plan No. _... -_ Codes
Est. Total Cost_) `FU ;-C'J-
lincluding 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'74.
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s gned date
— CLASS OF WORK —
New Alteratie Addition Demolish Move
❑ — ❑ ❑ ❑
—MVP
Plbg. Mech. Ell Struct. Fire Prot.
LI ❑ ❑ ❑ ❑
Occ. Gr. :Type Const. Us Be
Use of Building
Floor Area ei h
No. Stories L A ea on ge
Occ. load
O c. Chan f
Plat File No.
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
'e
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution original - Applicant. Rlue- 011ice. Canary - Sales Tax _Pink - Apphcanl. 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.
Dat