HomeMy WebLinkAbout2290 E Prospect Rd - Permits - 05/22/1986City 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 a Z 0
Name
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Mail Addres
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Phone —
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Name e
Address
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License No. Phone Jf G e>
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Lot Block
Filing Number
aSubdivision
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PUD
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DESCRIPTION OF WORK
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 stale laws regulating building construction.
- -- -- signed da-
- - date
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— CLASS OF WORK —
New, Alter Addition Demolish Move
❑ aN ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
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Occ. Gr. ..
Type Const. �- '
Use Zone
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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
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 Fees
Diskibi Ongmal - 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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W
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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.
Date r I