HomeMy WebLinkAbout1901 E Prospect Rd - Permits - 02/13/1984Clt; 7 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 N
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Mail Address
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Name �T. �t�{ �✓
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License No.
Phone (�
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Lot Block Filing Number
Subdivision
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DESCRIPTION OF WORK
Stock Options
Plan No. _ Codes
Est. Total Cost - _-
lincluding labor, material, profit)
I hereby acknowledgelhat I have read this application and
state thaj the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
signed - —_ - -------datl --
— CLASS OF WORK
New Alteration Al Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. " `y
Type Const. - 1'4
Use Zone _
Use of Building
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 , h-_, `- ,i.�
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review �, A�7
Special Conditions:
r
',fir Fl
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
_
Water Plant Investment
Sewer Plant Investment
_
Storm Drainage
Electric Underground
Total Fees
Disinbution Original Al glue - Office'. Canary - Sales Tax Pink - Applicant: Tag - Bldg. Insp.
Off -Street Parking
(No.
Cars)
Interior Lot
13
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date