HomeMy WebLinkAbout918 Bramblebush St - Permits/Basement Finish - 11/04/1988ty 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 16 213RAM S mojr :� 4
Name r'( e L�
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Mail Address 4J C
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Phone —00
Name J
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Address 2D2
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License No. C� _ Phone —&
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Contractor Sales Tax No. I a
Lot Block
Filing Number
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Subdivision aree r
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PUD
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Parcel If (r_ 11
DESCRIPTION OF WORK
d b�
Stock Options
Plan No.
� . Codes
Est. Total Cost ' "L S o
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
ordinances and state lawsregulating 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
L
r
Frontage
Dec. load
c. C
n rom
Plat File No.
o. D.U.
Garage area - e
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
Q
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
INC. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
PRi'iT9 60, 07
TAXPN 48,12
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N29020 08>16 A
X0.04' 88
D
ZBA Case # Date
BBA Case # Date
Building Insp. Approval
th date
4,[�3
Permit No.
Date
DistributionOriginal - Applicant, Blue - Oflme', Canary - Sales Tax; Pink - Applicant; Tag - Bldg. Insp.