HomeMy WebLinkAbout205 W Oak St - Permits - 09/28/1988City 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
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Name �IIZSi ZfJi�a�5ib]� a,�ht�.
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Mail Address zjj t vQ
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Name lji VlV1C ti it CL115i
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Address i
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License No. Phone
Contractor Sales Tax No. Z li '�l 47
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Lot t —
Block O—Z
Filing Number
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Subdivision
PUD
Parcel #
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
ordinateand 'stsse laws regulating building construction.
signed date
— CLASS OF WORK
New Alteration Addition Demolish
❑ ❑ ❑ Oil,
Move
❑
Plbg. Mech. Elec. Stru
❑ ❑ ❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Co C
s one
Use of Building Q'
Floor Area Height
No. Stories
Lot Ar
Frontage
Occ. load
IOc ' hange from
Plat File No.
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
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
N�.-m OL rT'iCsJ
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Total Fees
Distribution- Original - 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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Street
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ZBA Case #
Date
BBA Case #
Date
Building
Insp. ` Approval
by
-date
Permit No.
Date