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HomeMy WebLinkAbout638 S Grant Ave - Permits/Reroof - 02/09/1987City of Fort Collins BUILDING INSPECTION DIVISION APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Applicant complete this part of form only. —CLASS OF WORK — Press firmly using ball point pen. New Alteratio Addition Demolish Move Job Address 6-5s I ❑ ❑ ❑ ❑ Name PIbg. Mach. Elec. Struct. Fire Prot. L. ❑ ❑ ❑ ❑ ❑ a Mail Address 747cz 4— „ r Occ. Gr. Type Const. Use Zone 0 rs:� Phone Name Address License No. Phone c ° Lot Block Subdivision PUD m Parcel # DESCRIPTION OF WORK Filing Number Use of Building Floor Area WFireplaces No. Stories Lot Occ. load c Plat File Garage Type heat — RELEASES — Dates Zoning Engineering Fire Department Electric Department Water & Sewer Plan Review Special Conditions: —" Valuation Plan Check Stock Options Permit Plan No. Codes_ Parkland Est. Total Cost ®0 City Sales Tax (including labor, material, profit) St. Oversizing I hereby acknowledge that I have read this application and Water Plant Investment state that the above is correct and agree to comply with all city Sewer Plant Investment ordinances and state laws rggulatin building construction. Storm Drainage SC, n, Electric Underground signed J teee Total Fees Distribution: Original - Applicant', Blue - Office: Canary - Sales Tax: Pink - Applicant. Tag - Bldg. Insp. FEES Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ m Er N ^ N � d m > c 0 LL Street PRMTS 16.00 TAXPM 12.37 TOT! 28.37 FE 97 f "22 A CHCK 2 . C O ro ZBA Case # Date BBA Case # Date Building Insp. Approval by date Permit No. ate 37 W City 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. M Job Address Name d c Mail Address 3 O Phone 0 Name t5 Address # U License No. Phone 2 a Lot Block Filing Number N Subdivision N PUD Parcel # DESCRIPTION OF WORK 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 ordinances and state laws regulating building construction. signed date — CLASS OF WORK — New Alteration Addition Demolish Move ❑ ❑ ❑ ❑ Plbg. Mech. Elec. Struct. Fire Prot. ❑ ❑ ❑ ❑ ❑ Occ. Gr. Type Const. Use Zone Use of Building FloorArea Height No. Stories Lot Area I j Fro tag Occ. load Occ. Change fro Plat File Np. �, p,. No. D.U. Garage a(ea Fier.Bsrrit: 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 j49, Parkland City Sales Tax St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground Total Fees Distribution: Original - Applicant: Blue - Office; Canary - Sales Tax: Pink - Applicant; Tag - Bldg. Insp. Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ v ro ID ID o¢ � � m } rn c 0 LL �J Street c 0 ZBA Case # Date BBA Case # Date Building Insp.Approval by date Perot Nq. \ Date