HomeMy WebLinkAbout1027 Summer St - Permits - 10/02/1986City of Fort CollinS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly us g ball point pen.
Job Address U
Name,volt
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Mail Addres ;
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Phone-:+
Name -
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Address
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0
U
License No.
Phone _
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Lot
Block
Filing Number
6
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Subdivision
0
M
PUD
Parcel #
DESCRIPTION OF WORK
7
Stock Options
Plan No. Codes --.-
Est. Total Cost_
(including labor, material, profit)
I herP-by 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 date
- CLASS OF WORK
New Alteration Addition Demolish
❑ ❑ ❑
Move
❑
Plbg. Vill Ell Struct.
❑ ❑ ❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage,
Occ. load
Occ. Change from
Plat Fire No,�
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces qr stoves
- RELEASES -
Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation , . "-' FEES
Plan Check
Permit
I
Parkland
City Sales Tax
r�
,
St. Oversizing
Water Plant Investment _
Sewer Plant Investment
Storm Drainage
_
Electric Underground
T tal Fees•
Distnhution. Original - Applicant. Blue - Office', Canary - Sales Tax', Pink - Applicant: Tag - Bldg- Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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d
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IV
In
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„JLL
Street
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a
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date