HomeMy WebLinkAbout1307 E Prospect Rd - Permits - 06/22/1984City 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 Address /307 FAST
Name
o
Mail Address
C
o
_ _
Phone
`o
Name {
Address
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O
Li
cense No.
IPhone
2
a
Lot Block Filing Number
y
Subdivision
Q
W
PUD
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DESCRIPTION OF WORK
Stock Options
Plan No. — _ Codes ---
Est. dotal Cost
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 t _ date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ Cl
Plbg. Mech. Elec. Struct. Fir t.
❑❑ ❑ ❑
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
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
_
Dislnbubon Original - Applicapl,Blue- Office_canary- SalesTax Ymk- Applmanl Tag - Bldg Insp
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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ac
cc
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m
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rn
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Street
C
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ZBA Case #
Date_
BBA Case #
Date
Building
Insp. Approv
by
date
t
Date'