HomeMy WebLinkAbout810 E MYRTLE ST - PERMITS - 9/19/1986City 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 ' Tt-1_
Name
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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
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Lot
Block
Filing Number
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Subdivision
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PLO
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No Codes
Est. Total Cost `I
(including labor, material, profit)
I hereby acknowledge that I have read this application and
- State+hat -the above is correct -and -agree -to -comply -with allcity
ordinances and state laws regulating building construction
L signed _ d9te
— CLASS OF WORK
a
New Alte rf Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Froniage
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--
. ewer 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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Street
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ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
Permit No.
Date 1