HomeMy WebLinkAbout2506 Yorkshire St - Permits - 01/23/1986vlty of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERAAIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only. '.
Press firmly using ball point pen.
Job Address .+-
Name ,}Cow
Mail Address
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Phone ,
Name vtv�
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Address
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7
License No L I
Phone
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4 Lot
Block
Filing Number
Subdivision
PUD
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DESCRIPTION OF WORK
hock Options
'Ian No. Codes
3st.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.
signeddate
— CLASS OF WORK —
v/ Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Rl`bg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
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. Esprit, 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
- , j-
Parkland
City Sales Tax
--�.
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
Total Fees
stribution Original - Applicant: Blue - Office: Canary - Sales Tax, Pink - Applicant, Tag - Blag. ]nap.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Cornet' Lot ❑
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ZBA Case #
Date
BBA Case If
Date
Building Insp.
t Approval
by
-r-.' dale
Permit No.
Date