HomeMy WebLinkAbout7 OLD TOWN SQ - PERMITS - 11/14/1986City 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 vL
Name
d
C
Mail Address #7 Q
3
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Phone AGO
Name
0
m
Address
C
U
License No. a
Phone ZZ
2
Lot
Block
Filing Number
Subdivision
PUD
m
Parcel # -- a
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost t
(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 Alteraflon Addition Demolish Move
❑ V 1❑ ❑ ❑
Plbg. m4ch. Elea Struct. Fire Prot.
❑ ❑ ❑❑ ❑
Occ. Gr. �' Type Const.
Use Zone
Use of Building d ?'.
Floor Area
t
Heig t
No. Stories
Lot Area
Frontage
Occ. load Zj`�jZ
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:
i
Valuation lS
Plan Check t :-,,.:..••�
Permit
Parkland
City Sales Tax
-
St.Oversizing
Water Plant Investment
_
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
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 ❑
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Q
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Street
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ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
/
k
Permit No.
Date