HomeMy WebLinkAbout719 Blue Mesa Ave - Permits/Basement Finish - 04/13/1987City 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 �� I I
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Name S
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Mail Address ' Q U-` McSs tN
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Name
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Address
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Block I
Filing Number
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Subdivision�5�'
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PUD
Parcel # 1 7 A4* 3 -:.D _001 3
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost a
(including labor, material, profit)
1 hereby acknowledge that 1 have read this application and
state that AS above is correct and agree to comply with all city
Fmclating building construction.
date-87
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— CLASS OF WORK -
New Aftlion ion Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. M ch. EX. . Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr. Type Cond.
Use Zone
Use of Building
Height
Lot Area
Fro tag ,
4FloorArea
Chan
a fr m
o. D.U.
Fin. Bsmt. area
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions: r
0
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
`m
2
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Street
PRMTS 51.97
TAXPti 31.08
TOTL 83.05
CHM B
N98971
01:50 A
`o APR.13'87
ZBACase#
- Date
BBA Case #
Date
Building Insp.
Approval
by
date
/
Permit No.
Date
r05
Distrtbvnen' Original - Appllcarl. Blue - Office; Canary -Sales Tax, Pink - Applicant; Tag - Bldg. Insp.