HomeMy WebLinkAbout304 Parker St - Permits/Reroof - 09/21/1988City 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.
iiiJob Address
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Mail Address' 1 T-
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sr. CO L`t C0
Phone -J
Name
o
Address
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-
U
License No. Phone
Contractor Sales Tax No.
°
Lot ]Block
Filing Number
-
Subdivision
o P
Parcel # Q l ^i Z Z C52
DESCRIPTION OF WORK
Stock Options
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 build[raca=Wcoon.
r "
signed date
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Cawst.
Use Zone
Use of Building
Floor Area V
Height
No. Stories
Lot 1Xn
Frontage
Dec. load
c hange 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 FEES
Plan Check
------ ------
Permit
--
Parkland
City Sales Tax -
_,r -..
St. Oversizing
- Water Plant Investment
Sewer Plant Investment
Storm Drainage
-
Electric Underground
Total Fees
Distribution. Original - Applicant Blue - Orrice Canary - Sales Tax. Pink - Applicant. Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Y
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_IV
( 1
( 1
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0
Street
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ZBA Case 4
Date
BEE Case A
Date -
Building Insp. Approval
by date
jC 22Z
91Z1 /
Permit No.
Date