HomeMy WebLinkAbout1805 S Shields St - Permits - 06/26/1987 (10)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 MS " "
Name n el ,0 t,
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Mail Address
Phone
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Name L -Qbp �Apc; t-E C
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Addresso.
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La Co
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License No. ' Phone
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Lot
Block
Filing Number
Q
Subdivision
°
M
PUD
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No._Codes
Est.TotalCost
(including labor, material, profit)
I hereb acknowledge that I have read this application and
state that th a ve correct and agree to comply with all city
ordinanc s laws regulating uifding construction.
ne date
— CkASS OF WORK
New Altery on Addition Demolish Move
❑ itl Ele ❑ ❑ _
Plbg. Mech. Ele Struct. Fire Prot.
❑ ❑ Dr ❑ ❑ _
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
e g
Nq. Stories
t
F onta e
Occ. load
C e from
Plat File N
.0
Galrage area
smt. area
Type heat No.
Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
valuation FEES
Pion Check
Permit
_
Parkland
City Sales Tax
i
St. Oversizing
_
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Drstrib ion Original - pplicant. 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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Street
PRMTS
10.00
TAXPM
0.83
TOTL
10.83
CHHCK
N21260 11:01 A
JUN.26'87
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a
ZBA Case #
Date
BBA Case #
Date
Building
In Approval
by
date
Permit No.
Da
03