HomeMy WebLinkAbout511 Riverside Ave - Permits - 02/02/1984City 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 s�
Nameti
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Mail Address
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Phone
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Name �
Address
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License No.
Phone
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Lot Block
Filing Number
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Subdivision
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PUD
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DESCRIPTION OF WORK
it 'o
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
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ 11 ❑
Dec. 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: ; :. .,-.rt,_, _
Valuation FEES
Plan Check
Permit
l
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution. Unginal - Applicant, Blue - Ottice', Canary - Sales Tax, 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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6
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by, date
�' 1a 1983
Permit No.
Date