HomeMy WebLinkAbout4130 TANGER ST - PERMITS - 12/1/1983City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form unly.
Press firmly using ball point pen.
Job Address 4130 Tana>er Street
Name Puljte-#ioyrte Corp
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Mail Address 1 50 11. Miff Ave
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A rota, CO W0 14
Phone 751--37:10
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Name g0 A-ahler
Address 5129 W. Comity Rci. 00E
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3ellvue, CO 30512
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License No. p-20
Phone 223-9913
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Lot It,
Block 1
Filing Number 3
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Subdivision LarkhoroUglr
PUD
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DESCRIPTION OF WORK
Plan 404C
addition to oripirtai permit
fin. upper bath 1,151
1. st woodwork. 371
i lux van pkg-,.;rain bath 07
si. l:tx van pkg-uppesr bath 137
Stock Options LC
Plan No- 163 Codes ,yFt . m
Est. Total Cost 1 . Suo
lincluding 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 ---.date
— 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 R 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. Pink - Applicant Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
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Date