HomeMy WebLinkAbout613 S COLLEGE AVE - PERMITS - 5/28/1987City 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 b
Name
c
Mail Address
O
t7
Phone
`o
Name s
Address
C
0
U
License No. f.
Phon
.°
a
Lot
Block
Filing Number
b
d
SrPaibdvision
D
d
c ell#
DESCRIPTION OFF 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.
signed -7 date
— C ASS OF WORK —
New Alter on Addition Demolish Move
❑ ❑ ❑ A ❑
Plbg. Mach. Elec. Stru
❑ ❑ ❑ ❑
a Prot.
❑
Occ. Gr. Type Const.
ne
Use of Building
FloorArea
ei ht
No. Stories
Lo Ar
nta e
Occ. load
GCC. a e
Plat File
o. 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
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
❑
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m
Y
`m
V
( I
l 1
m
m
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Street
PRMTS
25.00
TAXPM
20.62
TOTL
45.62
CHCR 4
N20409 18:33 A
MAY.28'87
C
0
a
ZBA Case N
Date
BBA Case N
Date
Building Insp. Approval
by date
Permit No.
Date,
.62
Distribution: Original - Applicant: Blue - Office: Canary - Sates Tax: Pink - Applicant: Tag - Bldg. Ins,