HomeMy WebLinkAbout1510 S College Ave - Permits/Addition or Alteration - 09/18/1984ty 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
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Name ,ea"
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Address r . • l'i �i i- •c n:
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License No.
Phone
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Lot Block Filing Number
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Subdivision
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PUD
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DESCRIPTION OF WORK
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Stock Options
Plan No.-- Codes
Est. Total Cost >f -�l✓ G y -
(including labor, material, profit)
1 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`
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nrsvroubon Ongmal- Appl® J: &µ¢ �Olhee Canary Selca Tax PmA-ApplmanL Tag
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
plbg. MeIbh. Elec. Struct, Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. (2r _ Type Const. Use Zone
Use of Building , -ZiE,! e"
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 �f%�o-:� ,hp OfrJ Z: �.,. r:,.•ra.A
Special Conditions: ✓,-
Valuation �p FEES
Permit
Parkland _
City Sales Tax j 7
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
�7ota1'Fees
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot AO
Reversed Corner Lot ❑
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Street
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ZBA Case # Date
SEA Case # Date
BuildingTnsp.
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PerT N`o.�
Date
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