HomeMy WebLinkAbout1225 W Prospect Rd - Permits/Footing and Foundation - 06/07/1987City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of fofm only.
Press firmly using ball point pen.
Job Address ZZS
Name it —
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Mail Address U 7�sr 6
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Phone
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Name
Address S S
0
Z
License No.
Phone
2
a
Lot
Block
Filing Number
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Subdivision
PUD
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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 Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. 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 File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer -
Plan Review -
Special Conditions:
I
Valuation FEES
Plan Check 5 /Q
Permit
Parkland
City Sales Tax
St. Overs iz i n g
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
uivooulion Unginal - Applicant, Blue- Office, Canary - Seles Tas Pint. - Applicant Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No..
D to