HomeMy WebLinkAbout318 Canyon Ave - Permits/Sprinkler - 06/03/1985City 'O_-f Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCYj;-
Applicant complete this part of form only.
Press firmly using ballpoint pen.
Job Address
Name .; c.)C_ ..� .
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Mail Address
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Phone
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Name • f + lr,i C. ,
_
Address c- f t r I_
'b. �. tom. S a. �. l C.,
License No. I -
Phone
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2
a
Lot _
Block
Filing Number
N
Subdivision
°
PUD
m
.J
yb DESCRIPTION OF WORK
Stock Options
Plan No, Codes
Est. Total Cost
iincluding 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.
)±r t signed f date
— CLASS OF WORK .`
New Alteration Addition , Demolish Move
❑ ❑ ❑ ',-❑ i -_:- Cl
Plbg. Mech. Elec. Strk-t. Fire Prot.
❑ . ❑ ❑ ❑, ❑
Occ. Gr.
Type Const.
Userione
Use of Building
Floor Area
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
Zoning
Engineering
Fire Department,,., a,-------
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
k),.61-A5—pi
Permit
Parkland
City Sales Tax
tr, "" fitrn
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
-, —
Distribution: Original - Applicant Blue - Office, Canary - Sales Tax: Pink - Applicant: Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
Cal
RECEIVED
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JUN 31985
Poudre Fire Authorpy
BY
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ZBA Case # Date
BBA Case # Date
Building
Insp. Approval
by
date
049
Permit No.
Date
3