HomeMy WebLinkAbout1929 Sheely - Permits/Reroof - 09/04/1986City 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
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Mail Address
`Phone
Name
' Address j
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License No. Phone ' _1 _
°L Lot Block ____]Filing Number
Subdivision
PUD
Parcel #
DESCRIPTION OF WORK
i
Stock Options
Plan No _ Codes _. --...
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Est. Total Cost„ �I_,._-
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1 hereby acknowledge that I have read this application and
state that the a"ve is correct and agree to comply with all city
ordinances anc �t.ue laws regulating building construction.
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- CLA OF WORK -
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New Alte ti Addition Demolish Move
❑ ° ❑
-❑ ---- - -- - --
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
__
Occ. Gr. �pe Const.
Use Zoce
Use of Building
Floor Area , r� , Hugh
No Stori s Lot rCrea (�Frorjlt�� f--
Occ. I Occ. Change fro
Plat File No. o D .
Garage area I -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
Parkland
City Sales Tay
St Oversizino -
Water Plant Investment
Sewer Plant investment
Storm Diamage
Electric unde-rgrouno
[Total Fee'... -----1---
1
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Orgmal Ar,pi, ,,t. 131un Off ce nn2ry -Sales tax P ,k - Apphcant. iaq - RIAg Insp
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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L
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S
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Street
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ZBA Case #
Date
BBA Ca5ef,
Date
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Building Insp Aop rovUI ,,'---
by date
Permit No. -
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