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Home My WebLink About1100 E Elizabeth St - Permits/Addition or Alteration - 12/30/1999City of; Fort' C011inS 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-'//`Lq`e fy Name �� GGK 4.iC `m c Mail Address o 4!�.dl;a n0 Aorzy Phone Name o Address Z'4 U License No. Phone Z- 6 77—j- Contractor Sales Tax No. .� ��j -3 3 0 ° n Lot Block Filing Number L d Subdivision PUD oa — Parcel # -p0 DESCRIPTION OF WORK / a:- r dv4 oL r Stock Options Plan No. Codes Est Total Cost SZCiGi fincluding 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. y signed date — CLASS OF WORK — New Alteration Addition Demolish Move ❑ ❑ ❑ ❑ ❑ Plbg. Mech. Elec. Struct. Fire Prot. ❑ ❑ ❑ ❑ ❑ Occ. Gr. �l ype Const. UAlUse Zone %3 Use of Building(,aL (J ALtir. Floor Area Height No. Stories Lot Area Frontage Occ. load Occ. Change from Plat File No. 363- No. D.U. Garage area Fin. Bsmt. area Type heat No. Fireplaces or stoves — RELEASES — Dates Zoning (L Y^ _81& Engineering Fire Department Electric Department Water & Sewer Plan Review Olt f7L12, o Special Conditions: Valuation FEES Plan Check �1 Z Permit Parkland City Sales Tax I „ 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 ❑ m ID m `m c 0 "JLL Street PLND' 36.72 PR"TS 76.27 TAXPM 71.50 TOTL 184.49 CHCK 13 `o h93544 14.14 A D SEP.23'08 ZBA Case # Date BBACase# Date Building Insp. Approval by date 302�c� 912z188 Permit No. Date 49 D¢Vip.b.it Original - Applicant: Blue - Office. Canary - Sales Tax. Pink - Applicant: Tag - Bldg. Insp. i DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION SITE SETBACKS P.O. BOX 580, FORT COLLINS, CO 80522-0580 / 221-6769 REAR the rt s BUILDING PERMIT LEFT RIGHT JOB SITE ADDRESS 11oo E ELIZABETH ST l- `'Tit rDING LTx CMRATION ca"Uggeq It Lce PIo AL - use�,a Ff1L Parmlt [L/FIN{L Subdivision PUD Filing PERMIT FEES q Subd�visionjPUD Building valuation 24000 w FRONT -' Lot Block - Parcel 8 7182-24-402 ACCOUNT FEE DATE PAID LajUCKASON GARY " PLAN CHECK FEE 106.9,3. 930302 Lot Ama e, —BLDG—PERMIT WITH — '222-.08 ' — -- Adgreibo cay PiatFUeNo E ELIZABETH FORT COLLINS CITY SALES USE TA 360:00 O — statLeCD Z,p B0524 Phone No. Off sr Parkiag Conaer Lice -c10 •. • ld°13 MONTEDALE CT. G`V FT COLLINS sta,eCO g CALL 221-6769 TO SCHEDULE INSPECTIONS Z ° _ ___ x __ — __ — _ —MM (See reverse side for ap 8052b Phone 482-6725 sales Tar.JJp.833 ` _ Inspection Description) Cons )rµGtion Type Ceet cy Group Fire S UGP UGE SL i!d Bee, Squyre Feet., Na. of SStSOUe� tenes Bldg. Heigld TOTAL FEES 689.01 1 RjjFj,{, R E 05 RM FNB 2 ¢Y Occupant Load Occupancy Separaton Area Separation Fire Containment 241"'— 23PIARC 3 4P 6522 FNM HD o No of Dwelling Units No. of Bedrooms No. of Bathrooms Fireplace/Stoves easement Stock Plan Options ERhIIT 22.08N o Tax �NTERIDR � REMODEL OF EXISTING MEDICAL BUILDING y 23PIARC13 AA 6522 o AY, PR $360.00w AMT UE $582.08, . ECK 58^c.08 ZBA Case No. T11A Casse No. .e.TMENTAL REVIEW DEPARTMENT STATUS DATE Permit No093068 (AHa9CH 23, 1993 • '' • Electr cal As a conditio fir the issuance of a permit, I hereby declare that I owner PLAN CHECK POUDRE FIRE PASSED -PASSED-- 930304 930311 or the owner s agent, authorized to perform the proposed work on the property th p described he ein. I agree to comply with all the requirements contained herein, and City ord' ances, and State laws associated with such work. I understand that "" ` ` " `-"- - `" ` --` - T Mechanical such permit may be revoked in the event that issuance was based on incorrect E information. This permit shall become null and void if the work authorized by such permit is not commenced, suspended, abandoned, or not inspected within 180 days from the date of such permit. - -- ` - - _ -- - - _�� -' Plumbing RIGINAL - FILE, BLUE - OFFICE. CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD