HomeMy WebLinkAbout309 W Mountain Ave - Permits - 09/17/1985City 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
I Name e
c [Mail Address
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Name
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Address
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License No. phone
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Lot
Block
Filing Number
y'Subdivision
PUD
DESCRIPTION OF WORK
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W V - C
Stock Options
Plan NoCodes_ __
Est. dotal 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 —
Newv Alteration AddlIllop Demolish Move
❑ ❑ ❑
❑PTbg. Mach. Elec. Struct Fire Prot.
❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
FloorArea
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area _
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
RELEASES — Dates
FDepartment
entartmenter
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
_---
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- —ju - vpnco: canary Sales Taz FnA - Apphcant Tag - Bldg Insp
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
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ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
Permit No. D to