HomeMy WebLinkAbout420 N MELDRUM ST - PERMITS - 10/21/1987City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Pre s firmly using ball point pen.
Job Address .06
Name -
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Mail Address
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Name f�m65 X-J I
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Address
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License No. — Phonea,;� S
Contractor Sales Tax No.
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Lot
Filing Number
Subdivision -
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PUD
Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No. CodesT —
Est. Total Cost`j"`' r
(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--- --- date
— CLASS OF WORK —
Ne Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. 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. Esprit. 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
- --
Dis141bubon Original - Applicant Blue - Office.Canary - Sales Tax Pink - Applicant. Tag - Bldg lusp.
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
Permit No.
Date