HomeMy WebLinkAbout738 Martinez St - Permits - 12/06/1999City
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
Name
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Mail Address
Phone .l
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Name f-7-`%ir f%¢'pi'vd� .•'% ��4; "�"'• ,�'
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Address
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License No.
Phone
Contractor Sales Tax No.
Lot '�
Block
Filing Number
Subdivision
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PUD
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Parcel g ai" , � 4 •— . ,
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 I - date
— CreASS OF WORK —
Ne� Alteration Addition Demolish Move
p ❑ ❑ ❑ ❑
Ibg. Mach. Else. Struct. Fire Prot.
Occ.-Gr. j Type Const.
Use Zone Id �-
Use of Building/
Floor Area
Height
No. Stories
Lot Area d 1 -
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 r y D
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions: I
Valuation FEES
Plan Check
Permit•
Parkland
City Sales Tax} y,(74A:
11
St. Oversizing
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Water Plant Investment
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Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution- Original - Applicant, Blue - Office. Canary - Sales Tax,.Plnk - Applicant, Tiag - Bldg. Insp
Off -Street Parking
(No. Cars)
Interior Lot
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Corner Lot
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Reversed Corner Lot
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Street
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ZBACase# i j'a t
Date1%
BBA Case#
Date
Building Insp. Approval
by date
Permit No. _ ,.'
Date