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HomeMy WebLinkAbout825 E Elizabeth St - Permits/Addition or Alteration - 12/30/1999- ,y. K.r„ ., - ,,.;. - - ,. . - _ City 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 g', . 'a jT ETA Name Namesw!� C Mail Address. 3. � r' . Phone k }���} `0 Name S l m Address c 0 O License No. Phone a Lot Block Filing Number N Subdivision a PUD J DESCRIPTION OF WORK Cs 3 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 t S- — CLASS OF WORK — New Alteration Addition Demolish Move ❑ ❑ ❑ ❑ ❑ Plbg. Mech. 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. Noy 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 Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ a co } `a a� c c 0 ti Street C 0 co ;c ZBA Case # Date BBA Case # Date Building Insp. Approval by date f 2, lA //v✓ `,Permit No. Date Distribution: Original- Applicant; Blue - Office; Canary - Sales Tax: Pink - Applicant; Tag-- Bldg. Insp. City 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 ?C OAA ,-,Icj Lc;+— Name i +t+ _ ?v �a1 o, 1.3 a� Mail Address `a t O Phoney Name `o Co Address 0 U License No. Phone ° a Lot Block Filing Number N d Subdivision ry_ 0 PUD J DESCRIPTION OF WORK Stock Options Plan No. Codes Est. Total Cost .�Y,0D" (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. ,f signed ' date' — CLASS- OF WORK — New Alteration Addition Demolish Move ❑ © ❑ ❑ ❑ P bg Mech. EI Q c Structt.,e0 Fire Prot. ❑ 9- ❑ Occ. Gr. T Type Const. a" Use Zone Use of Buildings 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 ljj Special Conditions: Valuation :." } FEES Plan Check Permit t_ Parkland City Sales Tax St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground Total fees r Distribution: Original - Applicant, Blue - Officei'Canary - Sales�Tax: Pink - Applicant; Tag - Bldg. Inspr �•j''* `• - ,� Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ a m r a� —^ a c 0 Street .t ti R 71 C 0 io ZBA Case # Date BBA Case # r Date Building Insp.: — pproval by date A5 Permit No. Date