HomeMy WebLinkAbout2190 W Drake Rd - Permits/Tenant Finish - 08/05/1983City of Fort Collins BUILDING INSPECTION D:I'VIiION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address } Pr.� 14c: }
Name t, LJ1,AQ l
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Mail Address1PQ 7 "'
Phone A. ' Z —2P 4,
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Name .iitl'`tr+ `c35.
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Address 9
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License No. A 4
Phone _ 24?
Lot
Block Filing Number
Subdivision
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DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
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Est. Total Cost " f � '
(including labor, material, pr fit)
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.
signs date
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— CLASS OF WORK —
New Alteration,
❑
Additio Demolish Move
❑ okle ❑ ❑
Plbg.
Mach.. Elec. Struct. Fire Prot.
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Occ. Gr.
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Type Const. Use Zone
Use of Building
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FloorArea
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Height-
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
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Fin. Bsmt. area, WA
Type heat
4 F A
No. Fireplaces or stoves >
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— RELEASES — Dates
Zoning
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Engineering
Fire Department
Electric Department
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Water & Seweir
Plan Review
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Special Conditions:
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Valuation
FEES
Plan Check
Permit
Parkland
City Sales Ta
St. Oversizingi
Water Plant In
Sewer Plant I
vestment
Storm Draina
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Electric Un*ground
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Total Fees
Distri6utton:=' " na1- Ao0 cant awal� ntfiiAw= [:anary _ Ralas Tar• Pink - 6nnliranf- Tan- QIA- i..e
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Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
" ❑
Reversed Corner Lot
❑
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by
date
Permit No.