HomeMy WebLinkAbout1227 W Mountain Ave - Permits/Reroof - 09/12/1984City of Fort Collins BUILDi-JG INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form uniy.
Press firmly using ball point pen.
Job Address
i J. MOUNTAIN
Name"
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Mail Address p
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Phone 4 Z
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Name RANCE ��NiV �i
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Address -!
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License No. _
Phone
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Lot; Block Filing Number
Subdivision
PUD
J.I.
DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est. Total Cost-'-
lincluding 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 sate r
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elea Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
I 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:
Valuation FEES
Plan Check
Permit
u
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees`
OiStnbWlCn Original - Applicant. Blue - Office'. Canary- Sales Tex Pick - Applicant. Tag - Bldg Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
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
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Permit No.
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