HomeMy WebLinkAbout1316 W Oak St - Permits - 05/04/1988City 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 3
Name
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Mail AddressOak
3
°
G 010
Phone 3 _ La__
Name Gt e < oe
Q
Address 1 y
m
0
U
License No. Phone U
Contractor Sales Tax No.
c
2
n
Lot
Block
Fili g Number
N
v
Subdivision
m
PUD
d
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Parcel # 7 6
DESCRIPTION OF WORK
r
Stock Options
Plan No. Codes
Est. Total Cost 000
(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.
•uuz.t �4r,t 5�3`� S
signed date
— C
SS OF WORK —
New Alte�aty n
❑ 9
Addition Demolish
❑ ❑_
Move
❑
Plbg. Mech.
❑ ❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr.
Type
Const.
e
Use of Building
Floor Area
No- Stories
Lot
F age
-6cc. load
cc. Change r
Plat File No.
A
Garage area
Fi . Bsmt. area
Type heat
No. Fireplaces or stoves
—
RELEASES —
Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation
f FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
i
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 ❑
_A
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m
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0
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Street
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8
ZBA Case # Date
BBA Case # Date
Building
Insp.
Approval
by
date
Permit No.
Da