HomeMy WebLinkAbout232 N Shields St - Permits - 08/24/1982City 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 32 '��jl;eillii
Name
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Mail Address-41 "tll4ki 67e
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Phone rJ 'fr�f .. �r 3 -
Name lct? (sYT i
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Address
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License No. Phoneme
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Lot Block Filing Number
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Subdivision
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PUD
DESCRIPTION OF WORK
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Stock Options
PlanNo._ Codes_
Est. Total Cost
(including labor, material, profit)
I hereby acknowledge that I have read this application and
state that 1•fjQ above is correct and agree to comply with all city
ordinagCeS and state I s: regulating building construction
signed d to
CLASS OF WORK
_—
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ.Gr. Type Cor Use Zone
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:
Cam.
Valuation 1 �Y- FEES
Plan Check
Permit
Parkland J
City Sales Tax
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St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
__
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Distr,buhon Onglnal- Applmant 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
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V2 ,
Permit No.
Date