HomeMy WebLinkAbout933 E PROSPECT RD - PERMITS - 5/16/1983 (2)City 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.
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Phone ... Y
Name
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License No. `'- r Phone " I -,•
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Lot Block
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Filing Number
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Subdivision ��'r 7! S
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DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost
(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 Alteration Addition Demolish Move
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Plbg. Mech. Elec. Struct. Fire Prot.
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Occ. Gr. _ f
Type Const. �_ ; Use Zone ; ,
Use of Building
Floor Area 1
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 Conditions:
Valuation !�
FEES
Permit
Plan Check
St. Oversizing
Water Plant Investment
r
Sewer Plant Investment
Storm Drainage
Electric Underground
1
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City Sales Tax
Total Fees
Distribution- Qr ginal - Applicant: Blue - Office, Canary - Sales Tax, Pink - Applicant, Tag - Bldg. Insp.
Permit No.
Date
FEB 1 1963
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ZBA Case #
Date
BBA Case #
Date
Building Insp.
Approval
by
date
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Off -Street Parking
(No. Cars)
Interior Lot Q
Corner Lot ❑
Reversed Corner Lot ❑
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