HomeMy WebLinkAbout415 E LAUREL ST - PERMITS - 5/16/1983,.�..--: -z, t"�¢; ..=�,:,�%-: ;>eq.' t^ ^+>b :'y* aCs^•ts 3 ;sK�.-�^�-"tx;`�`.•'-�`S .�'ve'i':'�'`�' INSPECTION
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ty of Fort Collins BUILDING DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address y /,5" & • X p• a /'
Name I s Me 1 P f Fier d- 92
Mail Address
O
Phone
`o
Name r� ; i � -4 i1
m
Address j 3 r X
c
0
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License No.
Phone
C
n
Lot
Block
Filing Number
8.
Subdivision
o
Oil
PUD
d
J
DESCRIPTION OF WORK
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y
r2
(7
Stock Options
Plan No. �Codes
Est. Total Cost 6V
(including labor, material, profit)
1 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
❑ R/ ❑ ❑ ❑
Plbg. .. Mach. Elec. Struct. Fire Prot.
Occ. Gr. Type Const.
Use Zone
Use of Building 1,6107 ic"f- I--.
FloorArea
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 ,--, • G';% FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage,
_
Electric Underground
Total Fees
S�• �'�
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
ro
r
la
m
aroi
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9
m
y
T
rn
—JLL
Street
8
c
0
v
ZBA Case p
Date
BBACasett
Date
Building,lnsp. �,y Approval
by �' �r date
MAY IBM I
Permit No.
Date
;I
Distribution, Original - Applicant; Blue - Office', Canary - Sales Tae; Pink - Applicant. Tag - Bldg. lesp.