HomeMy WebLinkAbout1512 Patton St - Permits - 07/14/1988 (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 y 2 W-A vo ^ �
c
15
Name O !s�• S TPv Lk
Mail Address
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E. --b
Phone 44 . 13
Name kt e v
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V__
Address � 5 3 Q
I 5
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License No. j
_ro
Phone ! %OZ
Contractor Sales Tax No.
a
Lot
Block
Filing Number
Subdivision
°
PUD
d
Parcel # 13 • A 4 '7
DESCRIPTION OF WORK
H
Stock Options
Plan No. Codes
Est. Total Cost ai 1 r oo
(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.
nZ� I-I-3-'%V.—
signed date
— CLASS OF WORK —
New Alteration
❑ ❑
Addition Demolish
❑ ❑
Move
❑
Plbg. Mach.
❑ ❑
Elec. \ Struct.
❑
Fire Prot.
❑
Occ. Gr. Type
sty
Use Zone
Use of Buildi
Floor Area
Ight
No. Stories
Frontage
Occ. load
Occ. Change from
Plat File No.
No. tT.U:
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES
—
Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation
FEES
Plan Check
Permit
16,00
Parkland
City Sales Tax
r
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
115,00
Distribution. Original - Applicant: Blue - Oflice: Canary - Sales Tax: Pink - Applicant, Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
PRMTS 15.00
TOTL 15x00
CHCK 1
N91615 09:13 A
JUL.14'88
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ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
q -7
Permit No.
Date
1 1'