HomeMy WebLinkAbout615 E PLUM ST - PERMITS - 11/19/1986City 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 / J
Name
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Mail Address
3
O
Phone Q
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Name
Address
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U
License No.
Phone
n
Lot
Block
Filing Number
d
Subdivision
m
PUD
rn
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No Codes
Est. Total Cost
(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
New Alteratio , Addition Demolish
❑ ❑ ❑
Move
❑
Plbg. Mech. Elea 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:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
_
Total Fees J
Distribution. Original - Applicant. Blue - Office', Canary Sales Tax'. Pink - Applicant. Tag - Bldg. Insp.
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m
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Street
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ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
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Permit No. ..
Date