HomeMy WebLinkAbout519 Columbia Rd - Permits/Electrical - 07/07/1986:- �.C' _. .'S• .. .,. �... t":� .... ;." ..Ic a.. 6 _ .r-. ct�: • 'fix.: ,a.: ,2..:,'.'•-.r9 ^..+�. "..
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.
Job Address o
Name Columbine Cabc3evisim
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Mail Address
3
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Phone 493-7400
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Name
U
Address
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Port Collins Co. 80524
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License No.
Phone d
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_
Lot Block
Filing Number
a
Subdivision
PUD
m
v
J
DESCRIPTION OF WORK
_ r
Stock Options
Plan No. Codes
Est. Total Cost 75.00 !/ LA r__11%
(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
— CLASS OF WORK —
New Alters ion Addition Demolish Move
❑ ❑ ❑ ❑
Mg. Mach. attv Struct. Fire Prot.
❑ Cl ❑ ❑
Dec. Gr. Type Const. ,Use Zone
Use of Building { '
FloorArea
ght
No. Stories kat Ara !
Frontage
Occ. load hang fro
Plat File No.
No. D.U.
Garage area
Fin. Bsmt, area
Type heat
No. Fireplaces or stoves
— RELEASES — Oates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
'
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
Total Fe4 `'t'�'�-•� j
D glnbuM1on Original - ApplicanN Belo±- Of }k` Jury -Sales Tax. Pink - Applicanf�Tag` Ng Insp) �. ,a"„� N-
—
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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ZBA Case #
Date
BBACase# / ��
Date
building lns'AJ
Y !( f dale
`P�ermi -No, t
Date