HomeMy WebLinkAbout605 S Shields St - Permits - 02/10/1987,lty 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 (; 0 S ' <�j i/ t C 1 S
Name 6-'GLpY �1Ccct j P
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Mail Address
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Phone 7 Z j GJ4%
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Address 5--1T-' ReP" rtQ
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License No, S .� g' I Phone - ]
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Lot Block IFiling Number
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Subdivision
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PUD
Parcel #
DESCRIPTION OFF WORK
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►�2-r�� f+oorns /S'S ,
Stock Options
Plan No _ Codes—_ --_—___—_-
Est. Total Cost
lincluding 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
as and state laws regulating building construction.
signed
— CLASS OF WORK
New Alt -ion Addition Demolish Move
❑ ❑ ❑
_❑
Plbg. ME- E I eec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
_
Zone
Use of Building
Floor Area
e [
No. Stories
ea Frontag
Oc . Ch ge from
Occ. load
Plat File No
N '. D
Garage ar
F
mt. 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
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electrlc Underground
Total Fees
Distribution- Original - Applicant_ Blue - Office', Canary - Sines Tax Pink - Applicant Tag - Bldg Insp
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street —
PRMTS 29.50
TAXPM 24.75
TOTL 54.25
CLACK 5
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ZBA Case # Date
BBA
Case # �+ Date
Building Irisp. ^�/-- Approval
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date
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Permit No.
Date
.25