HomeMy WebLinkAbout626 W PROSPECT RD - PERMITS - 1/27/1983City 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 p"
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Mail Address
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Phone
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Name
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Address
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License No. Phone
a
Lot Block
Filing Number
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Subdivision
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PUD
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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 Alt ion Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Dec. 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
Permit
Plan Check
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
City Sales Tax
Total Fees
Distribution, Original - Applicant, Blue - Office', Canary - Sales Tax Pink - Applicant,, Tag - Bldg. Insp.
Permit No. Date
0 9 (jet A JPN27IM
ZBA Case # Date
BBA Case # Date
Building Insp. Approval
b date
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Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street