HomeMy WebLinkAbout627 S Grant Ave - Permits/Reroof - 01/28/1987City 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
Name
C
Mail Address l -
t �
03
Phone
Name
ro
Address �r
o
U
License No. — %
Phone
2
a
Lot
Block
Filing Number
N
a�
Subdivision
ro
PUD
rn
Parcel #
DESCRIPTION OF WORK
7 £
46
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, material, profit)
d 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.
signed date ,
— CLASS OF WORK —
New AlteratWn Addition Demolish Move
❑ R ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zope
Use of Building
Floor Area
Height "
No. Stories
Lot Area
Frontage
Occ. load
cc. 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 °` i -°" FEES
Plan Check
Permit
'
Parkland
City Sales Tax
r`
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total ,Fees.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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of
cc
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit N
Date
Distribution: Original -Applicant: Blue -Office; Canary -Sales Tax: Pink -Applicant; Tag -Bldg: Insp.
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'
Name'
Mail Address 5
3
O
Phone
Name
o
Address
o
License No. Phone
°
.2-
Lot
Block
Filing Number
y
Subdivision
°
m
PUD
_j
Parcel #
DESCRIPTION OF WORK
le d
Stock Options Q 0-
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
ordinance and stat s reg lating building construction.
signed date
— CLASS OF WORK —
New Al era . n Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Us e
Use of Building
Floor Area
He t
No. Stories
L Ar a
Occ. load
a g f m
Plat File N
Garage area
in. Bsmt. area
Type heat No.
Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditio
1
Valuation — FEES
Plan Check
Permit
f
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
6istribution. Original - Applicant: Blue - Office: Canary - Sales Tax: Pink - Applicant: Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
o
`m
}
t`a
m
a�
m
^^ m
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Street
TOTL 34.12
CASH 3
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14:47 A
JAN.29'87
C
O
ca
ZBA Case #
Date
BBA Case #
Date
Building Insp.
proval
by
date
]j
Permit No.
Date
.12