HomeMy WebLinkAbout1225 W Prospect Rd - Permits/Multi Family New - 04/10/1984City of Fort ColliilS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PER/y11T AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name
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Mail Address
3
O
Phone
Name
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Cal
Address
U
1
License No.
Phone
4
a
Lot
Block
Filing Number
u
Subdivision
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PUD
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DESCRIPTION OF WORK
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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
tigned - -- date
— CLASS OF WORK
New Alteration Addition Demolish Move
a ❑ ❑ ❑ ❑
Plbg. Mach. Elea 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. Psmt. area
Type heat
No. Fireplaces or stoves
— 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
nwribunan: Oigntal- Applicant, 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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Cc
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ILL
Street
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7
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by dateLi,
7(
Ji 5
840
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Permit No.
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