HomeMy WebLinkAbout605 S Shields St - Permits - 02/17/1987City 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 5 S
Name
c
Mail Address
3
O
Phone
Name k
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Address
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License No.
Phone
Lot Block
Filing Number
N
Subdivision
°
n
PUD
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Parcel If
DESCRIPTION OF WORK
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. Elea Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. T�fpe Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Oc:c. 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
't
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
a
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
❑
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Street
AMT.
o RECEIVED
FEB 1 8 1987
Poudrn Fin Authority
BY
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by
Qdate
V1
Permit No.
Date