HomeMy WebLinkAbout1307 E Prospect Rd - Permits - 03/15/1984 (2)malty of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of fofm only.
Press firmly using ball point pen.
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Mail Address _
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Phone Z Z 3-K 2q,'
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Name
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Address
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License No. —
Phone ,
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Lot
Block
Filing Number
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Subdivision
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DESCRIPTION OF WORK
P,u� Cori-S�GiG 6 i'1
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Stock Options
plan No. - Codes
ccst.Total Cost ---__---
tmcluding 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 date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr .;
Type Const 'I
Use Zone
Use of Building- ,
FloorArea"t 1
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
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Engineering
Fire Department
Electric Department
Water & Sewer z
Plan Review !`" j - .3
Special Conditions:
�rLtN�I.PJ` S ST1'TU�7 �Z (-
Valuation FEES
Plan Check f
Permit -
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
i
Electric Underground
-
Total Fees
Distrrouhon Original - Applicant, Blue - Office. Canary - Sales lax Pink - Applicant Tag - Bldg Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
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Reversed Corner Lot
❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
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Permit No.
Date