HomeMy WebLinkAbout328 Park St - Permits - 02/05/1985City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form omy.
Press firmly using ball point pen.
Job Address 82v.
Name
Mail Address
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Phone
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Name C�y /LLN l F9 /�
Address C� t
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License No.
Phone
1
Lot
Block
Filing Number
aSubdivision
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PUD
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DESCRIPTION OF WORK
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LIiX�
Stock 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 building construction.
signed _- date _—
— CLASS OF WORK —
New Alteration Addition De
❑ ❑ ❑
ish Move
❑
Plbg. Mech. Elec. Su . Fire Prot.
❑ ❑❑ ❑ ❑
__
C Occ. Gr. Type onst. jUse Zone
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
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
DiafnhUbOn Ortginal- Applmanl-Blue -office. Canary-3eestax Finks Applicant Tag Bldg Insp
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Cr
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. - Approval
by date
5
2 5
Permit No.
Date