HomeMy WebLinkAbout7 OLD TOWN SQ - PERMITS - 1/12/1989City 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 s,_11 3
NameX���
x
Mail Address r
Phone Y--��_�;�
Name
g
m
Address
-
00�License
No. .-IA1 'Phone _ VQ
Contractor Sales Tax No.
Lot
Block
Filing Number
Subdivision
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--
PUD
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—
Parcel # �
DESCRIPTION— O)F. WORK
Stock Options
Plan No. _ _Codes yy//) -7
Est. Total Cost !V� _!c59
(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 Alter lion Addition Demolish Move
El❑ ❑ ❑
Plbg. Mech. Elec, Struct. Fire Prot.
_ O ❑ ❑ ❑ ❑
Oce 315,Z ype Const.V - (k, � Use Zone
Use of Building
FloorArea Height
No. Stories
�Occ
Lot Area
r t e
Occ. load
C e rom
Plat File No.
No. D.U.
Garage rea
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES= Dates
Zoning
Engineering
Fire Department��`'
Electric Department
Water & Sewer
Review 1 r•
_Plan
Conditions:
'Special
r
Z24 Cv a76
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
15
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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Street
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ZBA Case #
Date
-BEACas'rra
Date
Building Insp. L� Approval
by / date
Permit No.
Date
DisvibUti, Ongma� -Appocant. Blue - Office. Canary - Sales Tax Plnk - Applicant. Tag - Bldg. Insp le
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