HomeMy WebLinkAbout41 S TAFT HILL RD - PERMITS - 9/22/1986City 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
Name j
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C
Mail Address ') �: a
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Phone
Name
0
Address
c
0
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License No.
Phone
n
Lot
Block
Filing Number
u
Subdivision
d
0
0
PUD
d
Parcel if
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost ' j
(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 c)a
— CLASS OF WORK —
New Alteration/ Addition Demolish Move
❑ ,, ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Dec. Gr. Type Const.
Use Zone
Use of Building <
•
Floor Area
Hei t! !
No. Stories
Lot Area frontage
Occ. load
Occ. Change from
Plat File No.
Nq. D.U.
Garage area
Fift. 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
Distribution:Original - Applicant; Blue Office; Canary Sales Tax, P+nk-ApiAreant,'Tag-B[dtKssp_
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Perm' No.
Date