HomeMy WebLinkAbout200 Johnson Dr - Permits/Mobile Home - 08/24/1988City 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.
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Job Address -OA
110 w, In SO►'t R. 13
Narri Wye,
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Mail Address -'
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Phone
ennial of Northern Colorado Inc.
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ltAllls&W. Frontage Rd.
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Fort Collins, CO 24
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License No. Phone_4/8y-68$7
Contractor Sales Tax No.
4
Lot
Block
Filing Number
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Subdivision
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PUD
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Parcel ri
DESCRIPTION OF WORK
/10 2X D ee woo
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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
atuilding construction.
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— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building t) M �
FloorArea
Height
No. Stories
Lot Area
I Frontage
Dec. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning _ O
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
Electric Underground
LE O lcff__F
ZS OC7
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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Street
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tOTLS
CHCK
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N22803 30`=50 A
AUG.21
ZBA Cases
Date
BBA Case N
Date
Building Insp. Approval
by
_ date
299fG7 I
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Permit No.
Date
5.00
Dislribution"214ginal _ Applicant: Blue - Office; Canary - Sales Tax; Peek - Applicant; Tag - Bldg Insp.