HomeMy WebLinkAbout725 Columbia Rd - Permits/Reroof - 02/12/1987fCity' 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.
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Name
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License No.
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Lot
Block Filing Number
Subdivision '
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Parcel #
DESCRIPTION OF WORK
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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 -Alt ra Addition Demolish
❑ ❑ ❑
Move
❑
Plbg. Mach. Elec. Struct.
- ❑ ❑ '. ❑ ❑
Fire Prot.
❑
Occ. Gr. Type Const.
U one
Use of Building
Floor Area
H 1
No. Stories
Lot rea nt
Occ. load
Oc
tan g ro
Plat File No. -
o
Garage area
in. Bsmt. area
Type heat -
No. Fireplaces or stoves
'RELEASES —
Dates
Zoning
Engingering
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
❑
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PRMTS
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APP 5
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FEB.12'87
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ZBA Case It
Date
BBA Case# 'I
Date
Building
Ins
Approval
by
date
Permit No:
Da -
.50
Distribution: Original - Applicant; Blue - Office: Canary - Sales Tax: Pink - Applicant: Tag - Bldg, Insp.