HomeMy WebLinkAbout1307 E Prospect Rd - Permits - 01/24/1984City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Pr f ly using ball point pen.
Job Address�—
Name N
a`e
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Mail Address
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Phone
Name
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Address
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O
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License No. Zf ,eq-
Phone ,
C
O
a
Lot
Block
Filing Number
y
d
Subdivision
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a,
,PUD
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DESCRIPTION OF WORK
h
Stock Options
Plan No. Codes
Est, Total Cost
(including labor, material, profit)
I 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 —
Ne Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone ,-ej
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. Esprit. 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 Fees
Distribution Original - Applicant Blue - Office, Canary - Sales Tax, Pink - Applicant, Tag - Bldg, Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
V
in
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c
o
V 1
Street
c
0
M
a
Z8rlEase7r ; ;
Date. -
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date