HomeMy WebLinkAbout713 Duke Sq - Permits/Reroof - 06/29/1987City
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 71 3 r Le —
Name L ® c.Ke R
a�
Mail Address
03
Phone
Name
0
Address 1_s,- ��W! .•�
o
0
� r.ci
U
License No.
Phone _
Lot
Block Filing Number
a
N
Subdivision
0
75
PUD
Parcel #
DESCRIPTION OF WORK
K
Stock Options
Plan No. Codes
Est. Total Cost jr %.,F
(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
In ces and state s regulating building construction.
1,t� -4 6 694 -7
signed date
— CLASS OF WORK —
New Altera ' Addition Demolish
❑ ❑ ❑
Move
❑
Plbg. Mech. Elec. Struct.
❑ ❑ ❑ ❑'
Fire Prot.
❑
Occ. Gr.
Type Const.
Use ne
Use of Building
Floor Area e' h
No. Sto '
LyflAre
Front
Occ. I
Occ. C ange from
Plat File o.
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:
+D�
Valuation — FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
v
Y
m
a�
fr
_IV
m
U)
as fn
0
LL
Street
PRMTS 44.50
TAXPM 46.75
TOTL 91.25
CHCK 91
N21329
03.28 A
JUN.30'87
O
itf
co
ZBA Case #
Date
BBA Case #
Date
Building Insp.
Approval
by
date
Permit No.
Date
?5
Distribution: Original - Applicant: Blue - Office: Canary - Sales Tax, Pink - Applicant: Tag - Bldg. Insp.