HomeMy WebLinkAbout925 ROCKY MOUNTAIN WAY - PERMITS - 3/23/1983City +of, Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERhUT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name
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Mail Address
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Phone
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Name
Address ' ��
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License No. —zo
Phone ) 1
4
Lot 17
Block !G
Filing Numberr-�
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Subdivision ;,A, •,
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PUD
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DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est. Total Cost y
(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
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signed date
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ 0-- ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
Occ. Gr. "or Type Const. � ` N
Use Zone L
Use of Building �i ; -/I_, I I— ` , /
Floor Area T f
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 Condi)ions:
Valuation FEES
Plan Check
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Permit
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Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage_
Electric Underground
Total Fees
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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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1121
in
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Street
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ZBA Case #
Date
BBA Case #
Date
uildtg Insp. :._y Approval .s r
Y�r.. date
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1. QoV2
km25190
Permit No.
Date