HomeMy WebLinkAbout1400 Shamrock St - Permits - 01/25/1989I
City 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 CiQ 511*m roc
Name ,Y x oc- I LE7
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Mail Address ji<.ylQ ?0
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L.116 .
Phone
Name.113 �L�lIl
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Address rk/L. V AC 5e-y`l /7'Ut- .
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License No. •> ' % _
Phone L 7
Contractor Sales Tax No. jZ j 7s�
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Lot
Block
Filing Number
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Subdivision
70
PUD
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0
Parcel #
DESCRIPTION OF WORK
Yt Ci T`t2.447
/fLC Gi(u ry. C54"1.
Stock Options
Plan No. Codes
Est. Total Cost � �� 00 c c:�e_-_-
iincluding 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
Ina ces and state Layvs regulating building construction.
7
sinned dat
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Dec. Gr.
Type st.
Use Zone
Use of Building
Floor Area
Height
No. Stories
of r
Frontage
Occ. load
O 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
_
S
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution Original - Applicant. Blue - Office. Canary - Sales Tax -Pick - Applicant, Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by % date
Permit No.
Date