HomeMy WebLinkAbout605 S MASON ST - PERMITS - 11/29/1999 (6)City 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.
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Job Address UC S!
Name �'�(JU '�S� t
Mail Address /� 4• i ,p ! ,
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Phone
Name 7 r L^
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Address /�
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License No. s- 4 G
Phone ,Q j j
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Lot to p, � s lock i.l Lt
Filing Number
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Subdivision
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PUD
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Parcel # v 7 ' 4 1 — + 7 }-3
DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
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Est. otal Cost z 0, —" ^/
(including labor, material, profit) k
I hereby acknowledge that I have read this application and
stateihat the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
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signed ('r„ '� date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑L ❑ ❑
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. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
MAX-4i
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Valuation t;��-' ' FEES
Plan Check "
Permit
Parkland ;'3
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City Sales Tax W,?L v .sue
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St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
'Kotaf Fees\ (� -\
A
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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N
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Street
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ZBA Case #
Date
BBACase# ,
Date
Building Insp. .i""" Approval
by date
PerhTi
Date
Distribution: Original - Applicant: BIueA; O(tice, CanarL. Sales Tax: Pink `Apphcari Tag - Bldg, Insp. x �'�• t,