HomeMy WebLinkAbout513 Park St - Permits - 11/15/19880
City 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.
ob Address
Name JC(tI-)UrN
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Mail Address
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Phone
Name J�-F H krCL F
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Address . �I �O� .� i VJ.)-�IC� _.
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License No-C? 74 Phone 119 3. 30 y 3
Contractor Sales Tax No.
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Lot
Block
Filing Number
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Subdivision
PUD
'Parcel # MC,-f--(_�i�L t=
DESCRIPTION OF WORK
c2ver -hop
Stock Options
Plan No Codes
Est. Total Cost *6 cc—
(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
ordmanc0s and state laws regulating building construction.
signe date
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— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech._Elec. Struct. Fire Prot.
❑ ❑_ ❑ ❑ ❑ --
Occ. Gr. Type Consj/ Use Zone
Use of Building
Floor Area \L ,
.9
No. Stories
Lot e 1 Frontage
Occ_' _hange from
Occ. load
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
Parkland-�
ity Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
"Co Ong a � licam. Blue - H,ce. Canary - Sales Taa .Pink - Apphc,,1 Tag - Bldg. Insp
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
�.
Permit No.
Date