HomeMy WebLinkAbout621 ENDICOTT ST - PERMITS - 3/21/1986City of Fort f 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 4 ;r / E A(f/_7 C 0 7•- 7-
Name CMG A 7 D a P E r /f
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Mail Address �, �� iii13 f C• �•, T i
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ET. GOLL/y-4
j •o Zf- Phone 'It?,7 _Z 741E
Name
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Address f r-
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License No.
Phone
Lot Block
Filing Number
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Subdivisionf
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PUD
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DESCRIPTION OF WORK
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C.r) Ar C A GA r F
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Stock Options
Plan No. Codes
Est. Total Cost \Iz��
(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 at) city
ordinances and state laws regulating building construction.
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signed t- date,
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. M ch. Elea Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zane
Use of Building�r,
Floor Area
Height f f
No. Stories
Lot Area
Frontage ` 1
Occ. load
Occ: Change from
Plat File No.. ; 7 L
No. fD.U.
Garage'area� �`- {
Fin. Bsmt. area
Type'heaU; --
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation _-^�-! FEES
`
Plan Check
Permit
el, j
Parkland
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City Sales Taxj%-
St.Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
1-Total-Fees�
Distribution. Original - AppLcanf. Blue - OUice, Canary - Sales T5, Pink - Ar icanslag \ Bldg Ip i
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11
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
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ZBA Case # Date
BBACase# f r Date
Building Insp. Approval
-
by ..F date
Permit No._`
Date