HomeMy WebLinkAbout425 STARLING ST - PERMITS - 2/14/1983City 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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Phone
Name �.
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Address
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License No. Phone
2
Lot
Block
Filing Number
Q
Subdivision
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PUD
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DESCRIPTION OF WORK
Stock Options
Clan No. Codes '
Est. Total Cost
(including labor, material, profit)
hereby acknowledge that I have read this application and
e that the above is correct and agree to comply with all city
inances and state laws regulating building construction.
F
signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
U.. ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
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Occ. Gr. ;
Type Const. V >V
e Zone Lp
Use of Building —
Floor Area /(
Height r ,
No. Stories r
Lot Area
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Frontage
Occ. load
Occ. Change from '
Plat File No.
No. D.U.
Garage area T_
Fin. Bsmt. area --
Type heat C!C, f7
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation
FEES
Permit
Plan Check _` `- J r
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St. Oversizing
Water Plant Investment
Sewer Plant Investment
/ ="C-' '7
Storm Drainage
Electric Underground
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City Sales Tax
1( `r (i • C';"
Total Fees
Distributions Original - ApplicanT, Blue - Office: Canary - Sales Tax, Pink - ApplicanT, Tag - Bldg. Insp.
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Permit No.
Date
9 Ix ?Z (1
FEB 1 4190
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ZBA Case #
Date
BPA Case #
Date
Building Insp.
Approval
bY:- &. - e . .-_ Z
date
Off -Street Parking
(No. Cars)
Interior Lot 13
Corner Lot ❑
Reversed Corner Lot ❑
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