HomeMy WebLinkAbout613 CORNELL AVE - PERMITS - 9/21/1988City 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 ' ep Nf if
Name M�yt .•t
I'IQ.s vt��a lSLrAle ✓'
_
Mail Address
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fir. O ll i (01 � -
Phone
Name `CtieST r�ecTvt(_ �o.
Address O G(O G
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License No. M�- I�Phonea _ Y3
Contractor Sales Tax NO.Aaa 10 03ya3•
°
c
Lot a
Block Filing Number
ol
Subdivision So ?h - (1e s— 14e A jj
PUD
v
Parcel # Y % a _030
DESCRIPTION OF WORK
YC0.v_ CT /1a C_
Stock Options
PlanNo.-_ Codes___
_
Est. Total Cost —ILC70"
lmcludmg 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
or ces aryl state as regulating building construction.
gnedI date
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.
Ty e C st.
Use Zone
Use of Building ' pJ 4'-- t
Floor Area
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
Plan Check
Permit
Parkland
City Sales Tax
/1 /
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
-
Total Fees
Distribution Original - Applicant Blue- Office. Canary - Sales Tar. Pink - Applicant. Tag - Bldg Insp
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
i
`m
I )
l )
co
in
r
C
0
Street _
m
a
ZBA Case #
Date
BBA Case #
Date
Building Insp. j/ Approval
by date
I
Permit No.
Date