HomeMy WebLinkAbout600 Mathews St - Permits/Electrical - 02/05/1986City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of lotm only.
Press firmly using ball point pen.
Job Address
Name n
Mail Address 3�
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Phone ��, .. -y
Name r Yirc
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Address SO /
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License No.
E_hf_ez gaff
2
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Lot
Block
Filing Number
Subdivision
w
PUD
m
J
r• DESCRIPTIONr OF WORK
e i
Stock Options
Plan No. Codes
Est. Total Cost t
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.
signed I&
— CLASS OF WORK —
New Alt ra .on Addition Demolish Move
❑ NK❑ ❑ ❑
Plbg. M elt h. '£le Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr. t _-:J� Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
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
Parkland
City Sales Tax
St. Oversizing
'
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total FFes
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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0
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by
i r '. date
`
, D
a 5"E
Permit No.
-. Date
,
Distribution. Original - Applicant :"R]Ue-'Ofl.; Canary - SaVTA�4P,14--/Applesant: Tag - Bldg'lnsp.