HomeMy WebLinkAbout208 1st St - Permits/Single Family New - 09/12/1986City of Fort Collins BUILDING :NS14CTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
... Applicant complete this part of form only.
- Press firmly using ball point pen.
Job�Address
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Name ,f�?n^Jn3-.e3 iri v.Cf E. to " in
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Mail Addrew'-) yQi A 171 S
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Phone '7j.)Cj
Name
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Address (S7 r,.iNQ
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License No. r I
Phone .2
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Block
Filing Number
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Subdivision ! �( crLin,
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PUD
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Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No. Codes -
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Est. Total Cost 4)
[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
ordinances and state laws regulating building construction.
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signed date ---•
_ — CLASS OF WORK —
New Alteration Addition Demolish Move
/ 9/ ❑ . ❑
PIg. ❑Mec . Elec. Struct. Fire Prot,
Occ. Gr."ta?
Type Cons[,
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Use Zone �'%�
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Use of Building 1 t� fLt ♦ 7 t+.J Sp
Floor Area :y. Height
No. Stories
Lot Area v 3!i7 0
Frontage y u
Occ. load
Occ. Change from
Plat File No. No.
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D.U. /
Garage area Fin.
Bsmt. area
Type heat ��.+.'"' No.
Fireplaces or stoves
t — RELEASES — Dates
Zoning iC �6 •' / $ -�6
Engineering
Fire Department ..
Electric Department
Water & Sewer
Plan Review 0 14 Mili
Special Conditions:
Valuation FEES --
Plan Check
f
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total -Fees-. f '
Off -Street Parking %
(No. Cars),=.]
Interior Lot
Corner Lot ❑
Reversed Corner Lot ❑
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61
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Street
PLNCY 32.18
PRHTS 327:37
PRFEE 625,pQ
STOVR 575,00
o TOTL 1559.55
9 CHCI( ' 55'
> N22743 10:36 A
SEP,12'86
ZBA Case# r Date a-r3•
BEA Case# Date
Building Insp. r / Approval
—.� NAermit'No� �—
Date
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Distribution Original - Applicant: BIN - ORi�ca: Gii yr Sales Tax', Pink txA�akhTag - Bldg NVIZ "-I.
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