HomeMy WebLinkAbout3354 Liverpool St - Permits/Footing and Foundation - 09/17/1985City of Fort Collins BUILD IN6,1 NSPECTION DIVISION
APPLICATION.."FOR BUILDING PERMIT.AND CERTIFICATE OF -OCCUPANCY
-Applicant complete this part of form only.
Press firmly using ball point pen. .
Job Address vm Y.Imp- . moio . Semet
Name
Mail Address �'®�mmel�eSiZE>10
3
O
�/� y�
/ ^� 11 t� Colorado
Ft. �ioUlaosn Colorado 80526
Phone 223-5050
Name ROW Strmss
m
Address flit, V. Haroetooth Rd*
0
171t. Collins. Colorado 80526
License No. D—A2
Phone 223-3050
2
a
Lot Block
-
Filing Numbers
N
Subdivision Rda'SbGrOURh
70
PUD
J
DESCRIPTION OF WORK
S �fl� PsznAlt F e& P
Stock Options
Plan No. 203 Codes
Est. Total Cost $1000 c00
lincluding labor, material, profit)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
i d 1`
T signed¢-` r� ter'--�'r /{ date r"...
:CLASS OF WORK -
New Alteration .-_,Addition Demolish. Move
❑ O ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.. �.
Type Const.
Use Zone
Use of Building »...
Floor Areal
Height
No. Stories
Lot Area g4j5
Frontage
Occ. load
Occ. Change from
Plat File No:
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
J
Parkland
City Sales Tax%
S�3f8Q$
St. Oversizing
Water Plant Investment 1 .
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Di�iibutlon: Original - Apphcant:•Blue'- Otfice;`Ganary� Salea"siax: PintiN- Applicant: Tag, -CBldg Insp` ��"--
Off -Street Parking 2
(No. Cars)=
Interior Lot g
Corner Lot ❑
Reversed Corner Lot ❑
m
(a
Cr
l VIV
to
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U)
0
•a
Street
rRM T . e2n .'621
o
_ SEP . 17 R
ZBA Case # Date
BBA Case # Date
Building Insp.Approval
by y::__4 ;date
YA
//7
Permit No.
_,Date