HomeMy WebLinkAbout524 W Laurel St - Permits/Addition or Alteration - 12/31/1999ty of
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
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Applicant complete this part of form only,
Press firmly using ball point pen.
Job Address
Name
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Mail Address
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Phone
Name rJ
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Address
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License No. Phone
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Lot
Block
Filing Number
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Subdivision
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Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No, Codes
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Est. Total Cost
(including labor, material, profit)
1 hereby acknowledge that I have read this application and
state that the above is correct and agree to comply willi at( city
grdinances and state laws regulating building construction.
signed --rt --date -
BUILDING INSPECTION DIVISION
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑, ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone tN fli
Use of Building
Floor Area
Height
No. Stories
Lot Area - - l
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Occ. load
Ocpan fr rm
Plat File No.
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Garage are
Fin. Bsmt, area
Type heat .�
No. Fireplaces or stoves
— RELEASES — Dilates
Zoning r ' r G p2 0
Engineering
Fire Department {'� s {r) i t i
Electric Department
Water 8 Sewer
Plan Review
Special Conditions:✓ 1
Valuation l - F ES
Plan Check
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Permit
Parkland
City Sales Tax
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St. Oversizing
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Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
7otalcFees--
Off -Street Parking
(No. Cars)
Interior Lot
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Corner Lot
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Reversed Corner
Lot ❑
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ZBACase#
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BBACase#
Date
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Approval
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Permit No.
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Distribution: Original - App)'A-t. Blue Office' Canary - Sales Tas ➢ink A, ApphcanC Tag - Sfog nsp
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City of Fort Collins BUILDING INSPECTION DIVISION.
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APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name j
.,Mail
Address': %� �• b ,; , .t+
(
Phone .' •-{
Name fµ t [ ra t
5
�
t
Address �-�i
;�;.��� �'{..
15
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License No. E\
Phone Pj
n
Lot 4
' v
Block
Filing Number
N
Subdivision
m
PUD
cu
J
DESCRIPTION OF WORK
,•l:
�.
tl KVlL ; I.S.
r
Stock Options
Plan No. i Codes
Est. Total Cos
(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 lawsrregulating building constructiowin..
signed date. A
Distribution: Original - Applicant:'Blue—Office; Canary - Sales Tax; Pink - Applicant, Tag
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ .❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const. .1-ggUse Zone
Use of Building11
t y r* -tN Z.
FloorArea
Height `
No. Stories
Lot Area Ftiontage .
Occ. load
Occ. Change from ;
Plat File No. t�p.
A
E.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:
C-' tin fv . ,�� , 6.
Valuation FEES
Plan Check
(1 ' Q
Permit `
I (tea " L20
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
Total Fees,.__ -
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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ca
N
N
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0
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Street
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ZBA Case #
Date -
BBA Case #
Date
Building Insp. Approval j
by date
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1` 75
Permit No.
Date -
Bldg. Insp.