HomeMy WebLinkAbout925 QUEENS CT - PERMITS - 5/26/1987City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this par} of form only.
Press firmly using ball point pen.
Job Address f
Name - t ✓.
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Mail Address
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Name To , J
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Address Q < .
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License No. ._
Phone
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Lot ,S
Block -
Filing Number_
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Subdivision
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PUD
Parcel #
DESCRIPTION OF WORK
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41 A
Stock Options
Plan No. '- _ Codes____-"' _
Est. Total Cost
(including labor, material, rofit)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
Ordinal e and state ws rA ulatln building construction.
signed date
— CLASS OF WORK
New Alteration Addition Demolish Move
113� ❑ ❑ ❑ ❑
_
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Dec. Gr.
Type Const.
Use Zone
Use of Buildingk -sit d ` C • }_
Floor Area
Height171
No. Stories Z
Lot Area �5S ''
Frontage �1
Dec. load
Occ. Change from
Plat File No. 7;'
No. D.U.
Garage area l
Fin. Bsmt. area
Type heat � _ "��nj
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
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution Original -Applicant Blue - Ottice, Canary -Sales Tax. Pink - Applicants, Tag- Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
Corner Lot ❑
Reversed Corner Lot ❑
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Street J/(cC'Y?5 cr dw'7
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PRMTS 23.62
TAXPM 13.75
TOTL 37.37
CHCF, 3
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MAY.?7'87
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ZBA Case # Date
BBA Case # Date
Building Insp. qttpproval
date
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Permit No.
Date
137