HomeMy WebLinkAbout624 Armstrong Ave - Permits - 03/14/1983c--,5-
ci "y 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
+dress y 2
Name
41
Mil
Address 1-1/+<F-
O
Phone 40F21 F��
`o
Nake
m
Ad
ress
c
0
U
License
No.
Phone
n
Lol
iling Number
Su
division
PU
P
m
J
DESCRIPTION OF WORK
ft®rf
ON 1 Q,(>. A Z4016i yt
Stock
Options
Plan
G. Code
.
Est. To
al Cost
labor, material, profit)
(including
I f
ereby acknowledge that I have read this application and
state t
lat the above is correct and agree to comply with all city
'state
ordina
ces and laws regulating building construction.
igned
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. 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 l"S i A
Special Conditions:
2 3 0 C)
Valuation - FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
1 �
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
A
Y
m
`I9
v
m
^
m
fn
i
n
c
0
LL
Street
C
a
ro
ZBA Case #
Date
B BA Case #
Date
Building Insp. Approval
by date
gg�� ��jj
dh �982
MAR 14
Permit No.
Date
Oistributiot: Original - AppllcanC Blue - Office, Canary - Sales Tax, Pink - Applicant: Tag - Bldg. esp.