HomeMy WebLinkAbout812 Colorado St - Permits/Single Family New - 04/01/1985City 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
Name'
Mail Address
3
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Phone f "
o
Name
-
Address
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0
License No.
Phone
C
a
Lot Block +�
Filing Number
b
a
-
Subdivision
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m
PUD
tT
d
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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 —
N Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building e ,
Floor Area +
Height
No. Stories
Lot Area t t
I Frontage
Occ. load
Occ. Change from
Plat File No. Lfi :6 _ i
No. D.U.
Garage area
Fin. Bsmt. area -_"...
Type heat 1
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review L.
Special Conditions:
Valuation FEES
Plan Check ..._r.. �..._�'
Permit ti j_L/
Parkland
City Sales Tax >e�
St. Oversizing
_ I'
Water Plant Investment
4- �.t (,-
Sewer Plant Investment
Storm Drainage
'j f
Electric Underground
Total Fees
Distribution: Original - ApplicaAt, BluA - Office; Canary - Sates Tax. Pink - Applicant. Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
15'
Corner Lot
❑
Reversed Corner Lot
❑
+ `a
-o
P_
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c
0
LL
Street
C
O
is
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
w
T . Permit o.
Date