HomeMy WebLinkAbout813 Maxwell - 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 pen.
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Job Address 3 - ,K•Wv 1 tf,1"' CT
Name 1 i+r ,
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Mail Address `f C.
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Phone
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Name
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Address
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License No.
Phone
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Lot / _
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Block
Filing Number
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Subdivision ' in
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Parcel If
DESCRIPTION OF WORK
Stock -'r Options tis. e-
Plan No. Codes
Est. Total Cost • 1L
(including labor, material, profit)
I hereby acknowledrge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances anct, state` laws regulating building construction.
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`sig ed — date
— CLASS OF WORK —
ew Alteration Addition Demolish Move
❑ ❑ ❑ ❑
P g. Me h. Elec. Struct. Fire Prot.
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Occ. Gr. Type Const.
Use Zone :., (yam
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 y,. -,^�
No. Fireplaces or at
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
- -�
Parkland
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City Sales Tax
St. Oversizing
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Water Plant Investment
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Sewer Plant Investment
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Storm Drainage-
-
Electric Underground
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-
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑'
Corner Lot
❑
Reversed Corner Lot
❑
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ap
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JLL
Street
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.ZBA+£ase #
Date
BBFt.{ ase#
Date
Building Insp. Approval
by date
Permit No.
Date
Distribution: Original - Applican , Blue - Otbce: Canary - Sales Tax. Pork - Applicant. Tag - Bldg. loss,
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