HomeMy WebLinkAbout310 E Plum St - Permits/Reroof - 04/14/1987Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name
or
Mail Address
3
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Phone
Name
0
Address
C
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City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
— CLASS OF WORK —
New
❑
Alter ion Addition Demolish
❑ ❑
Move
❑
POg.
Mach. Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. O.U.
License NO. I Phone L2lj _S�b S
I Garage area
Lot
Block
Filing Number
Type heat
Subdivision
PUD
Zoning
Parcel #
Engineering
DESCRIPTION OF WORK
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Fin. Bsmt. area
No. Fireplaces or stoves
— RELEASES — Dates `n
- stag
Valuation / r
StockOptions
Plan No. Codes
Est. Total Cost
(including labor, material, profit)
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
I ereby 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.
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
signed date '
Total, Feesi
Distribution: Original - Applicant. Blue_- Office; C;n sry- �al¢s-Tsx: Pink-- Appttcarrt Tag
Insp. ;
FEES
C
O
V
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
L.Permit No. D
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