HomeMy WebLinkAbout619 S Loomis Ave - Permits/Mechanical Alteration - 12/13/1985w — .�.-„-.rn:.J�?'-.= n -w - � :f'..G''-..+-.,�,r .. ... —''yam'•<r _ .. _ .. r _ -. _•. ....-.,
ity of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ba I point pen.
Job Address - :�'
Name
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Mail Address
Phone
Name ��
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Address _ ii#, ( ,fi • E { r ;
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License No. -3
Phone •,,lam_ - '
Lot
Block
Filing Number
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Subdivision
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PUD
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DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, mate ial 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.
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signed
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— CLASS OF WORK —
New Alt rati Addition Demolish Move
Plbg. 1L Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr. y--;.Use
Zone
Use of Building
Floor Area
Height
No. StoriestLotArea
Frontage
Occ. load.
Change from
Plat File No.No.
D.U.
Garage areaFin.
Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
f
/
Valuation FEES
Plan Check
Permit
i '}
Parkland
City Sales Tax
r C
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
otal Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
1*2
40 `
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ZBA Case #
Date
BBA Case #
Date
Building Insp.: Approval
by
.. J 11 ; _ date
Permit No.
Date
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