HomeMy WebLinkAbout255 Johnson Dr - Permits/Footing and Foundation - 12/14/1984ty of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING -PERMIT, AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form omy.
Press firmly using ball point pen.
Job Address %
Name JP
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Mail Address + i. tie
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Phone
Name
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License No. � _� -t
Phone 7Z 4 -di o
Lot
Block
Filing Number
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Subdivision
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DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est. Total Cost �� .'•1••.•; ofZ
lincluding labor, materiai, profi[j
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinan)ices and state laws regulating building construction.
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signed ,�n3 f date Y•3\
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. 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
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit u 7
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Tetal•Fees
Off -Street Parking
- (No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
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ZBA Case #
Date
BBA
Case #
Date
Building Insp. r / i Approval
by
date
ZPeiit No.
Date
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Distnbubon, 8nginal-Applmaui.B --Office:Canary-t�les Tax. Pinfi-Applmant. Tag - Bldg lnsp �J