HomeMy WebLinkAbout1313 University Ave - Permits - 03/03/1986City
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 LA N2 (U_2S/ %
Name
d
Mail Address
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3
O
Phone
Name L E cr 21 C.
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u
m
Address
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License No.
Phone
2
Lot
Block
Filing Number
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Subdivision
N
m
PUD
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DESCRIPTION OF WORK
C4M bi�J -
W G9
1 C rit I rU1 C
Stock Options
Plan No.__. Codes_
Est. Total Cost --
(including 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. Me h. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Area
Height
tories
E
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
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m
ID
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( )
1 l
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A �
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Street
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0
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
byy✓�/ date
/
Permit No.
Date
Distribution Original -Applicant Bice Office Oandry-Sales Ta,'. Pink Al Tag Bldg lisp.