HomeMy WebLinkAbout735 Lemay Ave - Permits/Demolition - 09/20/1984City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant completethis part of form only.
Press firmly using ball point pen.
Job Address, j A Al
Name �- bA dl 'i,)
Mail Address ;; Ave
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Phone
Name ALL i-so ri
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Address
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License No. /4-
Phone U
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Lot -
Block
Filing Number
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Subdivision
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DESCRIPTION OF WORK
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Stock Options
Plan No. Codes c
Est. Total Cost ��•'"' S1
tincluding 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 ate,,
— CLASS OF WORK —
New Alteration Addition Demolish Move
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Uone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. 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
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Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
TotahFpes- '
-Off-Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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ZBA Case #
Date
BBA Case #
Date
Building Insp,. Approval
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by } �~ date
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Distribution: Original - Apprrcanl: Blue --Office; Can'a5y - Safes Tax. Pink— Applicant: Tag - Bld4, Insp. \_3 I�^��..--,.� 1--_ `,_