HomeMy WebLinkAbout4229 S MASON ST - PERMITS - 3/7/1986City
of
Fort Collins
BUILDING INSPE[LInN nlvtsln-N
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUVANr_.
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 22-
Name
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Mail Address" L2'
Phone �,,,,�,�
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Name MOP DI;'?r r
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Address
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License No. - Z•
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Phone
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Lot': A- 2 A Block rjt A ' Filing Number
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Subdivision
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PUD i�etr
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DESCRIPTION OF WORK
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f- "z; +Lu Iit,t
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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
IT
— CLASS OF WORK —
N Alteration Addition Demolish Move
❑ ❑ ❑ ❑
P 1169, Mech: Elec: Strucl" Fire Prot.
Ey ❑
Occ. Gr. ^Z Type Const, Use Zone
Use of Building I
{Z
Floor Area Z oo o T
I Height /%
No. Stories
Lot Area,fr. �n,q
Frontage 10to '
Occ. load
Occ. Change from
Plat File No. ti Ij[.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning (J� fk•(' ei'l
Engineering
Fire Department 0. y'v = 111 %(
Electric Department f
Water & Sewer
Plan Review
Special Conditions:
5 CO
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
J ,�
St. Oversizing
Water Plant Investment
Sewer Pla
Storm Drainage
Electric Underground
T tal,Fees -
i
i
Off -Street Parking
(No. Cars)
Interior Lot
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;
Corner L,,++o�t
L.L.--JJIII
Reversed•Corner Lot
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Street ^cs-c-u�
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ZBA Case #
Date
RA Case #
Date
wilding Insp. [/I� ° Approval
j i date
Tom;
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Disvlbud,on:O,;liinal - ApplicaSaes Tax, P,nk - ApplicanbTa'g - Bldg Insp.