HomeMy WebLinkAbout1175 Niagara Dr - Permits - 09/29/1983City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
j/?S,Press firmly using ball point pen.
Job Address 1 1 % S N) PA- #
Name O _
5
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Mail Address
3
O
Phone
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Name—rj1�Tj (�
Address
O
U
License No. — Z
Phone
C
2
Lot
Block
Filing Number
Subdivision ,
0
N
PUD
N
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
ordinances and state laws regulating building construction
signed date
— CLASS OF WORK
New Alteration Addition Demolish
Ep.. ❑ ❑ ❑
Move
❑
Plbg. Mech. Elec. Struct.
❑ ❑ ❑ ❑
Fire Prot.
❑
Occ. Gr.-z— S
Type Const. U—
Use Zone
Use of Building r i- L r 0j (�j
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Z
Type heat
No. Fireplaces or stoves z
— RELEASES —
Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution'. Original - Applicant. Blue - Office', Canary - Sales Tax'. Pink - Applicant. Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
0
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`m
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m
in
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in
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date