HomeMy WebLinkAbout626 S GRANT AVE - PERMITS - 1/25/1989vll,y Vl _r ort k_ Ooni 1S 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 Z \�� j / n ,
Name
y, i
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Mail Address i d tj
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1
Phone
Name'
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Address 333 t 1 I p
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License No. .- as
r
Phone? _0 3 �P
Contractor Sales Tax No. aZ /
n
Lot
Block
Filing Number
y
Subdivision
°
PUD
m
Parcel# cr^1 y ;L — 1 I -00
DESCRIPTION OF WORK
r i
4 T r
Stock Options
Plan No. Codes
Est. Total Cost D
(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.
C� kL119 LX./.DA3U10 l)45)aq
signed date
— CLASS OF WORK —
New Alteration
❑ ❑
Addition Demolish
❑ ❑
Move
❑
Plbg. Mech.
❑ ❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const
Use Zone
Use of Building
Floor Area NS�Height
No. Stories IV91
A a
Frontage
Occ. load
Oc
. ge 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 3-57
Permit
Parkland
_,70
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Uistnbution. Original - Applicant: Blue - Office: Canary - Sales Tax. Pink - Applicant: Tag - Bldg. Insp,
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m
0
Cc
IV
( l
l l
E
� �
in
m in
c
0
ti
Street ____
0
v
70
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by 5 date
089ieZ,38
11izslill
ri Permit No.
Date
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.
Job Address
Name
a,
c
Mail Address i
O
Phone
Name 1 11
$
U
Address _.
R
C
O
U
License No.
Phone
Contractor Sales Tax No.
a
Lot
Block
Filing Number
N
Subdivision
PUD
m
J
Parcel #
DESCRIPTION OF WORK
i
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
❑ ❑ ❑ . ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const. Use Zone
Use of Building
Floor Area ;
Height
No. Stories
L t Area _
Frontage
Occ. load
Occ. Marilge 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
j 1
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
-o
`m
r
m
IV
to
co
0
ti
Street
c
O
ro
ro
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date
Distribution. Original - Applicant, Blue Office'. Canary - Sales Tax. -Pink - Appli6afU_Tag - Bldg. Insp.