HomeMy WebLinkAbout1401 W Mountain Ave - Permits - 07/18/19861®
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Fart CollinS BUILDING INSPECTION DIVISION
PPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
- <'Appllcant complete this part of form only.
4' "- Press firmly using ball point pen.
Job Address klllil
1/ ,
.Name , c7t drl t
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Mail Address
Phone
Name
0
m
Address
rw
b
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License No.
jPhone ie-c)J
4
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Lot
Block
Filing Number
Subdivision
m
PUD
Parcel #
DESCRIPTION OF WORK
40 #ilf i, t1 ",I e An r01x.
Over faf'ele-kr •
Stock Options
Plan No. Codes
Est. Total Cost ay
(including labor, material, profit)
1 hereby acknowledge that I have read this application an
state that the above is correct and agree to comply with all city
*drdi anceslan and laws regulating building constfuction.
` isignifd !date
- — CLAS 'OF WORK
New Alterati Addition Demolish
❑ ❑ ❑
Move
❑
Plbg. Mach. Elec. Struct.
❑ ❑ ❑ ❑
Fire Prot.
❑
Occ. Gr. Type Const.
Use Zone
Use of Building r ►t
Floor Area Height
No. Stories
Lot Are IFrontage
Occ. load
Occ. d ange from
Plat File No.
No. D.U.
Garage area %
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES —
Dates
Zoning
Engineeri g
Fire Department
Electric Department
Water & Sewer
Plan Review E, j
Special Conditions:
W
Valuation FEES
Plan Check
"
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distrihution: Original - Applicant, Blue - Office: Canary - Sales Tax: Pink - Appncan,. Tag - Bldg. Insp.
R
Off -Street Parking
(No. Cars)
Interior Lot
❑'
Corner Lot
❑
Reversed Corner Lot ❑
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ia:
1 1
1 1
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Street
1
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.I pal.
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ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
]l
Permit No.
Date