HomeMy WebLinkAbout621 SYCAMORE ST - PERMITS - 11/26/1984City 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
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Lot f �,{
Block -^ -..,,
Filing Number
- Subdivigion-
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PUD
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DESCRIPTION OF WORK
Stock Options
Plan No. _ Codes
Est. Total Cost _j_.
ncluding 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
otdinances and state laws regulating building construction.
signed date
- CLASS OF WORK
New Alteration Addition Demolish Move
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const. 1
Use Zone
Use of Building 3
Floor Area
He' ht
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area r
Type heat
No. Fireplaces or stoves . �-
- RELEASES - Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review n
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
Disrnbubon Original - Apphc nl. 61od- Orrice'. Canary -Sales iex. Pink - Applicant . Tag -Bldg Insp.
Off -Street Parking
(No. Pars)
Interior Lot
17
Corner Lot
El
Reversed Corner Lot
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C
0
V
Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by - ' date
Permit No.
Date