HomeMy WebLinkAbout4700 MCMURRY AVE - PERMITS - 9/21/19877,
City " of 'Fort Collins BUILDING IN'SPIE'-1eC"ti0-N DIVISION 1
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name ,- 1 .:,
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Mail Address
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Phone
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Name /
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Address
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License No.
Phoney �`; o=�f
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E.
Lot
Block
Filing Number ,
Subdivision
PUD
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Parcel.#
DESCRIPTION OF WORK
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.
_ .,•�'`• �' ff t -k '�. 1, ,` t om 1-711sle/
esigned _t' '� date
— CLASS OF WORK —
New Alteration Addition Demolish Move
o= ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ tic
Occ. Gr.
Type Const.
Use Zone
Use of Building
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 f
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
:°, " E%. `•; a
Parkland
City Sales Tax
c' o,
St. Oversizing
Water"Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
•41 �;--
Off-Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
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SEP 2 11987
Poudre Fire Authority
BY - 11
(., 43
ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
41-,T
Permit No.
Date
Distribution: Original - Applicant: Blue - Office; Canary - Sales Tax: Pink - Applicant: Tag - Bldg. Insp. '.7