HomeMy WebLinkAbout2725 S Shields St - Permits - 09/23/1986City of Fort Collins BUILDING INSPECTIC;>N DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCIJPANCY
Applicant complete this part of form only.
Press firmly using ball point pert.
Job Address
Name viounter1I1 ?1�.
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Mail Address I ;=y lt1 0" !%t;r rf7
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C Lac -Sim ill
Phone r}--,f,4
Name
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Address
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License No. 2t.'-
Phone
Lot
Block
Filing Number
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N
Subdivision
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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 . ,_ -,
— CLASS OF VVORK
New Alteration Addition Demolish Move
❑ ❑ a ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ 501 ❑ ❑
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. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
valuation 71- •+- - FEES
Plan Check
Permit
1ir5. LIU
Parkland
City Sales Tax
L.
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Distribution. Original - Applicant, Blue- *flce;'Cislttry— Sales Tax: Pink - Applicant: Tag - Bidg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
a
m
m
d
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C
0
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by ,- date
(a
Perm' Nq
Date