HomeMy WebLinkAbout520 City Park Ave - Permits/Reroof - 09/03/1986City Of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMJT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only. _
Press firmly using ball point pen.
Job Address
Name
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Mail Address �� O �!, ,/
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7 I�DIJ l/I�5, G° o
Phone
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Name
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Address
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License No.
Phone
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n
Lot
Block
Filing Number
Subdivision
PUD
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Parcel If
I DESCRIPTION OF WORK
dD� �OME
I
1
I
1
1
I
I
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Stock Options
Plan No. Codes
EIt. Total Cost -
(iricluding labor, material, pro-
To-1 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.
��.1�N , 3, / 5y6
signed date
— CLASS OF WORK —
New Alter ati
❑
Addition Demolish
❑ ❑
Move
❑
Plbq. Mech.
❑ ❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
fight
No. Stories
Lo)r
a ront
Occ. load
c
an fro
Plat File No.
Garage area
In. Bsmt. area
Type heat
I No. Fireplaces or stoves
—
RELEASES —
Dates
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 Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
9
ed
7
m
cr
IV
f )
( 1
d
a
d
N
m
N
0
Street
o
_
-
ZBA Case #
Date
BBACasa#
Date -
Building
Insp.
Approval
by
date
Permit No.
Date
Distritiutian: Original - Applicant: Blue -'Office. Canary - Sales Tax: Pink - ApplicanC Tag - Bldg. Insp.