HomeMy WebLinkAbout732 Martinez St - Permits - 12/06/1999City 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 73Z 8 �Z
Name e oK Ale-1 �O G
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Mail Address 2 I O
O
Phone 76
Name, D
o
U
Address
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U
License No. Phone
Contractor Sales Tax No.
4
Lot
Block
Filing Number
d
bdivision SuL A V i 5 T
o
as
PUD
of
Parcel #
DESCRIPTION OF WORK
r t
Stock Options
Plan No. Codes
Est. Total Cost :3/, M o
(including labor, aterial, profit)
1 hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordLipAnce lating building construction.
signed date
— GLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg/ Mach E9L_Struct. ire❑Prot.
Occ. Gr. Type Const.
Use Zone �^
Use of Building S ER
Floor Area
Height
No. Stories
Lot Area b s-0
I Frontage V
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 0� ✓J C Q
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review QK-
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax,
�d
St. Oversizing
5 1�1$. b
Water Plant Investment
( sT M Cd
Sewer Plant Investment
Storm Drainagl!!I`bb
1
2,'i2.0
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
1�
Corner Lot
❑
Reversed Corner
Lot ❑
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mas
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A I
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as
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STORM 26t F.
TOIL 1695.04
CHCK 189.
N21469
10:57 A
Street 'f AN - 14'
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ZBACase# ($j (
Date aQ^
BBA Case #
Date
Building Insp. j `
Approval
by
{d_ J .
date
2 8'22
114 l88
Permit No.
Date
,O4
Distribution. Original - Applicant. Blue - Office; Canary - Sales Tax: Pink - ApplicanC Tag - Bldg. Insp.