HomeMy WebLinkAbout255 Johnson Dr - Permits/Footing and Foundation - 12/14/1984 (3)City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION, FOR BUILDINGPERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name fc .r
s
Mail Address
Phone
0
Name p
Address ? �'
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o
License No. . 72
_
Phone 7 7 f _9
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4
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Lot
Block
Filing Number
Subdivision
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J
PUD
DESCRIPTION OF WORK
Stock Options
Plan No Codes
Est. Total Cost
[including labor, Jnaterial,%profit)
) hereby acknowledge that I have read this application and
slate that the above is correct and agree to comply with all city
ordinances and state laws iegulatmq building construction.
Jt
— 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
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
F
nt
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check �" tp•-� _
Permit C„ t4")
Parkland
City Sales Tax
iau- 00
St. Oversizing
_
_
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
C
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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m
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Street
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ZBA Case #
Date
BBACase#
Date
Building Insp Approval
by date
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('it,—Pd7rpW No.
Date
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