HomeMy WebLinkAbout932 E PITKIN ST - PERMITS - 6/8/1987City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
ARplicaTit-u-ornpiete this part-oi-form only.
Press firmly using ball point 42 n.
Job Address
Namel'irL. /� & S 6 kAl
c
Mail Address
3
O
Phone
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Name nn
R CL1;Y.Li- `6 Ls' /CGCc-i!,^D,ES/G
Addressj3tT6,2, R,'% tifrc 0,V 12A!;2
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/a.
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License No. Q, - (13
Phone
C
Lot a7s
Block
Filing Number
Cl
N
Subdivision
PUD 7/1-5r-T �S
rn
Parcel #
DESCRIPTION OF WORK
Cc- w I AC71AC .a rc cs i ei
I
Stock Options
Plan No. Codes
L c<`
Est. Total Cost �J S
(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 la regulating uilding��constrructiion.
date
— CLASS CLASS OF WORK —
New Alteration Add iti Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Str Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.<_
Type Cons
Use Zone R L,
Use of Building F
Floor Area
Heigh
No. Stories
Lot Area A i
ronta e
Occ. load
c . n g e ifr
Plat FN .
D. .
Gar areaj.,Vin_)Bjm/
a a
Type eat --
V. Fireplaces or stoves—
— ELEASES — Dates
Zoning C
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 -Office Canary - Sales Tax'. Pink - Applicant, Tag - Bldg. lost.
Off -Street Parking
-
- ,No: Caos3-
-
Interior Lot 6
Corner Lot ?�
Reversed Corner Lot ❑
3y
m
d
Vr
t f tLl
in
m
U)
f c
b o
u_
Street
PRMTS 21.60
TAXPM 13.17
_ TOTi` 74- 77
C CHCK 3'
N21003 09:58 A
JUN.18'87
ZBA Case # Date
BBA Case # Date
Building Inspn pproval
by date
� 7
�?/e67
Permit No.
Date
.77