HomeMy WebLinkAbout4130 TANGER ST - PERMITS - 9/10/1986City 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
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Mail Address
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Lk
Phone
Name
Addresst -Fa ,:.v,^C.: Z`.rx+.v ...✓=- C'�t` _
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License No ;0 Phone z_ d l
a
Lot Block
Filing Number
N
-
Subdivision
N
PUD
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Parcel # w , , a
DESCRIPTION OF WORK
f
Stock Options
Plan No. Codess._..
Est. Total Gost
(including labor, material, profit"` f r w
I hereby acknowledge that kave read this ;application and
state that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction_
dakf —
— CLASS OF WORK —
_
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
_
Plbg. Mach. 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.
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
Special Conditions:
Valuation FEES
Plan Check
—R•
Permit
G
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
^r Blue - Officc Canary - 9ai>� fax. Pr n pllra n' g aldg. Insp
4
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
_r
m
`m
a�
m
m
in
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"J
LL
Street
C
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To
ZBACase#
Date
-
BBA Case #
Date
Building_LFW. Approval
by - date
permit No
Date