HomeMy WebLinkAbout205 3rd St - Applications/Garage - 05/17/1984City of Fart 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 0 r
Name J0 F U Q 46 V c
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Mail Address l / 7Au-c S / I
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Phone _ Q c.J
Name
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Address ��.
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License No. Phone
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Lot
Block
Filing Number
Subdivision
PUD
N
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DESCRIPTION OF WORK
Gf
S for
Stock Options
Plan No. Codes
Est. Total Cost 01DO
(including labor, material, profjt)
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 —
N Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone M
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 S / /
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 Fe s
Distribution. Original -Applicant Blue - Officef 6eriary -Sales Tax'. Pink - Applrcant: Tag - Bldg.'14P.
AF
Y) /+'
Off -Street Parking
(No. Cars)
Interior Lot
Corner Lot
b
Reversed Corner
Lot ❑
m
m
d
G41>
m
.o m
CO
m n
c
0
ll
Street
c
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ZBA Case #
Date
BBA Case #
Date
Building Insp.
Approval
by
date
7
) UQ -7�
—9'(/
—// 7
Permit No.
Date