HomeMy WebLinkAbout515 Smith St - Permits - 09/04/1986City 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
Name C
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C
Mail Address
3
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Phone
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Name
m
Address
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License No.
Phone
Lot
Block
Filing Number
Q
y
Subdivision
m
PUD
Parcel #
DESCRIPTION OF WORK
Q
oyn to
Stock Options
Plan No. ___._ Codes
Est`fotal 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 ` I I "Fri ' da�2
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. 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 h-0
Water & Sewer
Plan Review
Special Conditions:
_
a
Valuation =':1 r �_ • FEES
Plan Check
Permit
Parkland_
City Sales Tax
/',
St. Oversizing
Water Plant Investment _
Sewer Plant Investment
Storm Drainage
_
Electric Underground
Distribution. Original - Applicant Blue - Office'. Canary - Sales Tax. Pink - Applicant. Tag - Bldg. Insp.
i--
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
a
m
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m
C
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Y Street-
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co
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Cal
ZBrA Case # Date
BBA Case # Date
Building Insp. Approval
by date
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Permit No. Date