HomeMy WebLinkAbout1136 E Stuart St - Permits - 06/10/1987City of Fort Collins BUILDING INSPECTION DIVISION
,APPLICATION FOR BUILDING PERhUT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address �f_�� FTG�/�T �` �• �L[Z: '
Name/ � Jy'� t/ �y��r1 C rt/ C
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Mail Adoz— C.7�� L°��t � Liu �i
Phone ,7, 3? 7 7C;,e;,
Name
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Address
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License No.
Phone
2
Lot �y.�L'�-
Block
Filing Number
N
Subdivision
°
PUD
m
Parcel #
DESCRIPTION OF WORK
--
Stock Options
Plan No, Codes— - -
Est. Total Cost
(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
ordina es and state lavys regulatin building construction.
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--=- - --- - -
signed date
r.
— CLASS OF WORK
New Alteration Addition Demolish Move
ID ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. '4 - �
Type Const.
Use Zone to
Use of Building fit..,. �.—ee'pz' -C A- 'Jc
Floor Area
Height
No. Stories
Lot Area 1, `We.(C
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 l
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation Z e) FEES
Plan Check
Permit
77
Parkland
City Sales Tax
00
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Di;:n button. Cngural - Rpplmanf. Blua- Ctf;ce, Canary 6elc, Tax P:nk APp!icant Tag - B!dg. Insp_
"
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot 'r
Reversed Corner Lot ❑
0
`m
4
m
>
Cl)
Street PRMTS 197.77
T
TOTL 472e77
CHCK 4 7.
N90777 16:04 A
JUN.11'O7
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ZBA Case # Date
BBA Case # Date
Building
Insp. Approval
by
date
Permit No.
ate
,77