HomeMy WebLinkAbout402 E Lake St - Permits/Reroof - 06/11/1987City 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 yo,L E 1,14KF 5i
Name EAU b T S'L' 4W Ak7—
Mail Address 4101 S L)414F S'-
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Phone YgLi-.103
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Name
Address
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Lot
Block
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Filing Number
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Subdivision
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Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est. Total Cost .5 01z)
(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.
signel date
— CLASS OF WORK —
New Aler ion Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. ct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.
Type.
Use.Zeee
Use of Building
FloorAr
Height
No. Stor(
Lot ea
Frontage
Occ. load
Occ. Change from
Plat File N
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 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
❑
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JUN.1w'87
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ZBA Case #
Date
BBA Case #
Date .
Building Insp. Approval
by��,, date
Permit No.
Date
101
Distribution: Original - Applicant; Blue -Office; Canary - Sales Tax: Pink - Applicant; Tag - Bldg. Insp,
INSPECTION RECORD
(For Departmental Use Only)
Inspection
Date
Inspector
Comments
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m
Setback & Footing
Foundation
Frame & Roofing
Garage Fireproofing
Fireplace
Wallboard
Garage Footings
Garage Foundation
Final
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Rough
Temp.
Final
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Sewer
Water
Rough In
Water Test
Gas
Final
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Underground
Rough
Energize
Final
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W
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Fire Protection
Final
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Correction Order Left
Stop Order Issued
Stop Order Released
Certificate of Occupancy
Sidewalk, Curb, Gutter & Street
Site Plan