HomeMy WebLinkAbout2643 Pampas Dr - Permits - 12/10/1984City 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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77, �C/ryry.Oe
Phone .
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Name��-
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Address- --
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License No. phone —
Lost �F, i! Block ai Filing Number �y
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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.
------�nned---------, .—. --- .--date -
— CLASS OF WORK —
Alteration Addition Demolish Move
Plbg. ; M c�EI,e� Str c Fire Prot.
Occ. Gr rr' Type Const..
Use Zone
Use of Building
Floor Area r
Height
No. Stories #
Lot Area
Frontages,..;
Occ. load
Occ. Change from
Plat File No. ��.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat .... ;<..
No. Fireplaces or stoves
— RrCLEASSES —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
IMCe canary - gales Tax Prnh - 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