HomeMy WebLinkAbout1133 CITY PARK AVE - PERMITS - 8/31/1987City 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 3 3 94 c—jr?,-
Name
t
Mail Address r �y
O
n Phone
Name
o
U
Address
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ji
0
License No.
Contractor Sales Tax No.
0
n
Lot
Block
Filing Number
H
Subdivision
w
m
PUD
d
J
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total CPrmteTaI
(including l, 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 style ws ulaung building construction.
signed date
— QkASS OF WORK —
New Alt�r�1 on Addition Demolish Move
❑ F7 ❑ ❑ ❑
Mg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
He g t
No. Storie Lo
Area
Front e
Occ. load Occ. Ch n e from
Plat File No.
o D.
.
Garage area
in. smt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
!�
C7
FEES
k
g
Taxzing
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`
m
V
m
ffi
m
in
c
0
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Street 9RMTC
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TAXPM
114 14
TOIL
33.14
CHCK '
N23017 11.29 A
AU0.28'67
0
0
v
ZBA Case #
Date
BBA Case #
Date
Building Insp. r Approval
by date
Permit No.
Date
Digtribution: Original - Applicant: aloe - Office; Canary - Sales Tax: Pink -Applicant, Tag - Bldg, Insp.