HomeMy WebLinkAbout512 9th St - Permits - 10/22/1984City 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 512 9THeST
Name ' 30E MITATES
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Mail Address S12 9TH ST
3
CO.0 FT. COLLINS, 80524
Phone 482-8204
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Name UNMELT "MRGYATIM DOLT API)
Address 1821 E. HARMONY RD.
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FTo COILINSo CO. 80525
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License No. S-498
Phone 223-4373
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Lot
Block
Filing Number
N
-
Subdivision
m
PUD
N
J
DESCRIPTION OF WORK
SOLAR INSTALLATION — domestic
hot water
2 panels roof trounted, V x13.5"
5 144# each
Silicone lfuid <<...,.
Stock Options
Plan No. Codes
Est. Total Cost
lincluding labor, material, rofit)
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 Ilding construction.
signed date-/
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ R ❑ ❑
Plbg. M h. Elec. Slruct. 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
r
_
Permit
Parkland
City Sales Tax
Z_ll 4-4
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution Ongmal - Appl vnt. Blue - 011ice. Canary - Sales Taw. Fink - Applicant Tag - Bldg Insp
Off -Street Parking
(No. Cars)
interior Lot LLF
Corner Lot ❑
Reversed Corner Lot ❑
lX
IV
f t f
1
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in
m in
C
0
1
Street
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ZBA Case # Date
BBA Case # Date
Building
Insp. Approval
by
date
Permit No.
Date