HomeMy WebLinkAbout605 S MASON ST - PERMITS - 11/29/1999 (7)City of Fort Collins BUILDING INSPECTION DIVISION
APPLLCATION 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' 4
'C_Ct.. C0 90S_ 2r
- - Phone ---"'
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Name
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Address TRe 2f 0 a
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License No.S-G6C
I Phone 4F3 — G10 S (
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Lot _ Block je
Filing Number
SubdivisionA0V An,
s
0
PUD
Parcel# 92141 —1_3 — 03-3
DESCRIPTION OF WORK
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Stock Options
Plan No.Codes
_
�
Est. Total Cost �' 0
(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 anand star la a acing building construction.
Cs�l 3-8 7
signed date
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— CLASSiOF WORK —
New Alteration Add'tj n Demolish Move
❑ ❑ ❑ ❑
Mach. ETec. Struct. Fire Prot.
❑ ❑ ❑ ❑
-Occ. Gr. Type Const.
Use Zone
Userof Building
t r,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:
a
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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in
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Street
PRMTS 15.00
TAXPM 1.38
TOTL 16.38
CHCK 1
M98236
19:09 A
MAR.24'87
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ZBA Case #
Date
BBA
Case #
Date
Building Insp.
Approval
bye//f
date
Permit No.
Ddie
.38
,Sales Tax: Pink _Applicant: Tag -Bldg Ins,
i
Community Planning & Environmental Services
Building &Inspections BUILDING PERMIT
PERMIT FEES
Division
P.O. Box 580 281 N. College Ave.
Building valuation s27,090A0
Fort Collins, CO 80522-0580 B997230
City of Fort coll3ns phone (970) 221-6760 Fax (970) 224-6134 ,r
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 605 S MASON ST FTCO
PERMIT DATE +�+�+
kj&VP9wAWOjSubs
$17850
1211OM99
Dian Check Fee
$116.68
12/161188
PERMIT
TYPE KMCH bisralanlcalAlleradon
PERMIT LEVEL
1SSJ p�
J w
CATEGORY TYPE RESTAtIPANTICAFE
My Sat•IA//• Tax
$405.00
1z111V1gs
MN SalealUse Tax
S10125
1?/1N799
Lest Name, First, Middle Initial
OSBORNE ROBERT S
construction Type
occupancy Group
tic
3
Address BDJ S MASON ST ody / sPbRT COLLIN5 CO
O No. of Stories
Building Height
Zip W521
Phone No.
V Building Square Footage 0 Stock Plan/Opfions
Front Setbacc
Rear Setback
REQUIRED INSPECTIONS
L7
CALL
Z_
Right Side Setback Leh Side Setback
,
Z
•, •
• 1 NS
Plat File No. ZBA Case Number Zoning District
(See reverse side or Inspection Description)
Subdivision/PUD Filing
GL FNM
Q
Lot Block Lot Area Parcel No.
Name Contractor License No.
OCompany
r
a
Address
City/State
OPhone
Supervisor Cart. No.
V
Electrical License No.
K
GMechanical
License No.
`
Roofing
License No.
Framing
License No.
,n
Plumbing
license No.
kin
REPLACE DUSTING E*I LIST HVAC AND BRING UP TO CODE AT AVOGADRO S NUMBER
RESTAURANT ROOFTOP UNIT MUST BE ENCLOSED TO SCREEN FROM VIEW
OR PAINTED SAME OOLORTHE ROOF PER ZONING.
,
As
a condition for the issuance of a permit, I hereby declare that I am an owner or the owners agent, authorized to perform the proposed work on the property
described
herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
event
that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit or from the date of the last inspection.
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TOTAL FEES -
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