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HomeMy WebLinkAbout802 E Lake St - Permits - 12/30/1999 (2)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 qO;L F— k4KF $l Name `J�-Au ilk Mail Address qo`L E I'p(<ir— ST 6 1=r CoLL IUS CO $05'�1'� Phone ygy-21a3 `o Name m Address c 0 U Lice se No. / Phone ° a Lot Block Filing Number A Subdivision PUD rn °i J Parcel # DESCRIPTION OF WORK M- 2cGa1vG, T►aCr} G-laf2 KI As SI+lW L 70 0 +- Stock Options Plan No. Codes Est. Total Cost (including Tabor, 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 h�and spate laws regulating building construction. signe date — CLASS OF WORK — New AI er ion Addition Demolish Move ❑ ❑ ❑ ❑ Plbg. Mech. Elec. ct. Fire Prot. ❑ ❑ ❑ ❑ Occ. Gr, Type. Use e Use of Building Floor Ar No. Stor Lot ege Occ. load Occ. CPlat File N M Garage area Type heat stoves — RELEASES — Dates Zoning Engineering Fire Department Electric Department Water & Sewer Plan Review Special Conditions: Valuation FEES Plan Check Permit Q 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 ❑ m m _la V ( ) 1 1 v v d C 0 PRMTS 10.00 Street CHCIt 1 N20813 16:12 A JUN.1^c'8T 0 D i ZBA Case # Date BBA Case # Date Building Insp. Approval date/ by date � 6 6 �.7-7 l�A? / Permit No. Date M Dist,intl . Onginal - Applicant: Bind - Office, Canary - Sales Tax. Pink - ApplicanC Tag - Bldg. Insp. 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 fjC) E :.1441r Name 'rj4Qiij :1 „C.�la1N►:Z rb Mail Address 4%C��L 1. ji7Cf CT' 3 o Fr CoLL Jk1" 1i Phone Name o � Address �• o / / / ! U License No. f Phone n Lo[ Block Filing Number Subdivision to A PUD Parcel # DESCRIPTION OF WORK ICE— l;<'O lAlh. �+Fi y-if_z♦ `A C'�rjZi^1{ F T16o e Stock Options Plan No. Codes Est. Total Cost 7 {mcludmg 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. signedrj i date — CLASS OF WORK — New Alteration Addition Demolish Move ❑ O. ❑ ❑ ❑ Plbg. Mech. Elec. Struct. Fire Prot. ❑ ❑ ❑ , ❑ ❑ Occ. Gr. Type Const. Use Zone Use of Building J. t Height Lot Area FrontageOcc. Change from. =No.No. No. D.U.a Fin. Bsmt. areallo. Fireplaces or stoves — RELEASES — Dates Zoning Engineering Fire Department Electric Department Water & Sewer Plan Review Special Conditions: Valuation FEES Plan Check Permit -;+_:: {!, 4- Parkland - City Sales Tax' St. Oversizing `.-- Water Plant Investment Plant Investment _Sewer Storm Drainage Electric Underground Toal-F4sJ1i ' Ar' M Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ m` cc m in m I� in "J r,.fil7ry JIB Street 7AYGrd '4'r 'rnT1 Z, ti I• JUk,i"'87 oc A .. .o N. ZBA Case # Date �BBA Case# Date Building Insp. ✓ Approval by date Permit.No._ T ` Date Distribution original Onginel- Applicant BIPe- Oflte, CenaryT�alas Tax -Pink - HpPlivarn. T.9- Bldg. Iussp.