HomeMy WebLinkAbout805 Laporte Ave - Permits/Addition or Alteration - 06/21/1985City 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 - L fi . A3
Name ..tt Y, It1, j i~, t l ,. 1,. fill.
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Mail Address ' . v � L
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Phone 1 -L''I tir
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Name „tom_•„_
Address
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License No.
Phone
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Lot _ -t^ j
Block Y� j I
Filing Number
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Subdivision
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DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est. Total Cost -1,1, . L) k- O
(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.
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signed ^ r clite
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑/ ❑ ❑ ❑ ❑
Plbg. Mach. El ece Stru Fire Prot.
❑ El; ❑
Occ. Gr. Type Const. v4 . •
Use Zone 12 AL
Use of Building�t-„.
Floor Area t, L, '- *r
Height \,A r
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat 41.. kx3
No. Fireplaces or stoves
— RELEASES — Dates
Zoning nit P//
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review ill >>1 ).07 �7i yl�=', 2'vc
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
= v-
City Sales Tax
'
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
Total_F_ees
Distribution. Original -ApplearQ�16eyOtfte'Ca�pcaanTg3'-Bl¢J
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Date
BBACase# =
Date ,
Building Insp. Approval
by j' date
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Date
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