HomeMy WebLinkAbout420 N MELDRUM ST - PERMITS - 11/19/1987City of Fort Collins BUILDING INSPECTION DIVISION''
„_1_—
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY AY'
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
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Name �nL-L 1 f� C 0, R
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Mail Address e"7'�`
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Phone , - `YC io
Name r / z f d
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Address �/ �, 1 _
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License No. _Z
Phone
Contractor Sales Tax No.
4
Lot----
Block
Filing Number
.N
Subdivision J 44
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PUD
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Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
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Est. Total Cost
(including labor, material, profit)
I hereby acknowledge that I have read this application and
state that th_e.above is correct and agree to co ply with all city
ord nab anc state laws regulaSing 4u' g construction.
-signed da
7
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— CLASS OF WORK —
New Alteration Addition Demolish 1W
❑ ❑ ❑ ❑
u Mech.
Plbg. Mh. Elec. Strct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone C
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 tt //—tb'S-)
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Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check `
Permit
_elj7
Parkland
City Sales Tax
774 C.X C=_drf' t
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Dhrtnbution- Original - Applicant Blue - Office', Canary - Sales fax, Pink - Applicant, Tag - Bldg. Insp.
Off -Street Parking
/
(No. Cars)
Interior Lot
❑
Corner Lot
%C
Reversed Corner Lot
❑
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ZBA Case #
Date
BBA Case #
Date
Building
Insp.
Approval
by
date
281-30
/ 1
b 9`�'
Permit No.
Date