HomeMy WebLinkAbout605 S Shields St - Permits - 09/30/1988City 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 Z'(7 � - . 77t/ 25-S
Name ,
w
Mail Address
Phone
Name JC- r) `<21
Address��--�---
License No. )- �' Phon �--7
c
i Lot Block Filing Number
N
Subdivision
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PUD
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A2C-L 1� l_I O
DESCRIPTION OF WORK
4 1 :t CC 7 -_
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. Mach. Elea Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building f J
Floor Area
Height
No. Stories J
Lot Area
Frontage
Occ load
LOcc. 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
Permit
Pal
—
City Sal
Sales Tax
versizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees --- --
— --
_ --- -
Distribution Original - App4 can f. BWc Office, 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
ZBA Case #
Date
BRA Case #
Date
Building Insp. Approval
by date
7 xx
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913�S,1?5
Permit No.
Date