HomeMy WebLinkAbout411 S BRYAN AVE - PERMITS - 10/15/1987 (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.
.Job.Address 40LJou -k Bryo-n AV
Name
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Mail Addre:
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Name L41k1taiv &Rd A
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Address
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License No.
Phone
Contractor Sales Tax No.
2
a
Lot
Block
filing Number
NSubdivision
PUD
v
Parcel If
DESCRIPTION OF WORK
Stock Options -
Plan No. Codes
Est. Total Cost :023 1.POO, 00
(including labor. material, -profit)
I hereby acknowledge that 1 have read this application and
state that the above is correct and agree to comply with all city
ordina� d st I�ulating building construction.
. e /61z—R7
ig da Y date -
EN
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct: Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building my,
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 b nj t CS'
Engineering
Fire Department Q
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check C,- fob
V 10
Permit
Parkland
City Sales Tax
-
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
--r—
Total Fees
-
Off -Street Parking
(No. Cars)
Interior Lot
- ❑
Corner Lot
❑
Reversed Corner Lot ❑
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Street
PRMTS 106.92
PRMTS 222.07
TOIL 328.99
CHCFS 32
N94261
12:35 A
OCT.16'87
0
ZBA Case#
Date
BOA Case If
Date
Building Insp.
Approval
bys�
date/
Permit No.
Date
.99
0¢tri0ulion: Original - Applicant: Blue - Office. Canary - Sales Tax; Pink - Applicant; Tag - Bldg. Inap. _