HomeMy WebLinkAbout605 E PROSPECT RD - PERMITS - 8/29/1985Y
City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form oniy.
Press firmly using ball point pen.
Job Address
Name
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Mail Address - -
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Phone f,
Name
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Address
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License No. _ J1 Phone
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Lot Block Filing Number
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Subdivision
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DESCRIPTION OF WORK
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Stock Options
Plan No. _-_ _ _ _ Codes
Est. Total Cost
lincluding labor, materia), 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 Alte ti Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. . Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
7Type 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
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
- -_
Storm Drainage
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Electric Underground
Total Fees
Distrihubon C)nginal Applir ant Blue - office.Canary - Sales Tax Plink Applicant Tag - Bldg Insp
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
" 2
Permit No.
Date