HomeMy WebLinkAbout205 3rd St - Applications/Garage - 06/18/1985City 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 a r
LIF LAt t" G 2W
m
Mail Address
C
a
Phone
Name
o
Address
—
U
License No.
Phone f J
`e
n
Lot
Block
Filing Number
-
u
Subdivision it „,.--:.yL,. -
�
PUD �
m
d
J
DESCRIPTION OF WORK
�4 ,1
�
up
f_..
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 ano agree to comply with all city
ordinances and state laws regulating building construction.
signed date
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ B
_
Plbg. Mech. Elec. Struct. Fire Prot.
IG 13 ❑ ❑
Occ. Gr. Type Const.
Use Zone utvt
Use of Building
jj
FloorArea
Height ` M
No. Stories
Lot Area f <ri. '
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 ; r j ` t.,f d Y
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review # .r i r!
Special Conditions.
Valuation FEES
Plan Check
Permit
Parkland y_
City Sales Tax
St. Oversizing
'
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
-
Total Fees
Distnbuhrin. Original - Applicenr, Blue - Office', Canary - Sales Tax. Pink - Applicant Tan - Bldg. Insp
Off -Street Parking {
(No. Cars)
Interior Lot
B�
Corner Lot
❑
Reversed Corner Lot ❑
�a
m
m
c )
c�•sl
(5
}
N
r' o
Street
0
cc
ZBACase # r
Date 41116
SBA Case #
Date
Building Insp.
Approval
by
date
"
t
Permit No-:
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