HomeMy WebLinkAbout2290 E Prospect Rd - Permits - 03/04/1983City o- Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERAUT 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 e
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Phone
Name
Address
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License No. ._.. Phone -
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Lot
Block
Filing Number
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Subdivision
PUD
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DESCRIPTION OF WORK
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
ordinances and state laws regulating building construction.
signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ EF ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ 13
Occ. Gr. + Type Const.
Use Zone
Use of Building j
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
SpeciauConditions:
ValuOon
FEES
Permit
Plan Check
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
City Sales Tax
P=
Total Fees
r
Distribution. Original - Applicant; Blue - Office, Canary - Sale, Tax; Pink - Applicant; Tag - Bldg. Insp.
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Permit No.
Date
0 995
MAR O 8 03
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ZBA Case #
Date
BBA Case #
Date
Buildirl8 Insp.
Approval •-
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date}
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street