HomeMy WebLinkAbout528 Stover St - Permits/Addition or Alteration - 07/18/1986City 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 tp t`ov c (K'_
Name LivT- }' ENoiLi s
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Mail Address J r� i tlC is
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t;-j:, i=ato
Phone `j ') Q
Name 4 i. (C
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Address
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License No.
Phone
4
Lot �; No �,�,
Block 1 `.1
Filing Number
b
Subdivision J/ f r t, t
°
Pup
O
Parcel# rfl-J17
DESCRIPTION OF WORK
t
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.
^yam.
9
signed date '
— CLASS OF WORK —
New Alteration AdIR'on Demolish Move
El ElCf ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. d ✓
Type Const..
Use Zone iI
Use of Building f _
Floor Area f_ r
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
REL ASES — Dates
Zoning( ' r
Engineering
Fire Department
Electric Department
Water R Sewer
Plan Review 8.
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
1.
Distribution. Original - Applicant, ue - Office: Canary - Sales Tax. Pink - Applicant; Tag - Bldg. Insp.
l
,.-.
Off -Street Parking
(No. Cars)
Interior Lot
£f
Corner Lot
❑
Reversed Corner Lot
❑
a
Y
cc
4)
cc
V
m
o
Street
o
-
a
ZBA Case #
Date
BBA Case #
Date
Building InSp. Approval
by date
-Perm' N j
Date
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.
Job Address1
Name
c
Mail Address
3
O
Phone
0
Name
Address
c
0
U
License No.
Phone
°
n
Lot ' f.
Block j `!'-^,�
Filing Number
y
Subdivision _ ?
PUD -
rn
Parcel # p
DESCRIPTION OF WORK
,r
t
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.
❑ ❑ ❑ ❑ ❑
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 Departmen:
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution_ Original - Applicant. Blue - Office'. Canary - Sales Tax, Pink - Applicant. Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
a
m
m
ac
Cc
_IV
} rn
c
0
Street
c
0
ro
a
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date