HomeMy WebLinkAbout624 E ELIZABETH ST - PERMITS - 3/16/1987City 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 4ga y. 6,_ ELr Z 4 is CT /
-Name
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Mail Address 6� E: �. Z A S FTH
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Phone SrYv,
Name-p73 Epp FC--K LE.10
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Address 6 a Ll .S -C ' Z q 13 +.(
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License No.
Phone +i qY- // 6 3
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Lot 'Block
Filing Number
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.Subdivision
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PUD
Parcel 2v-- U a6
DESCRIPTION OF WORK
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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.
IZe., u.a . __ 3- %6 - V?
signed- - - date '
— CLASS OF WORK' '
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
.Plbg. Mech. Elec. ._ Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑.
Occ. Gr. Type Const,
I Use Zone
Use of Building -
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 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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a
ZBA Case #
Date
BBA Case #
Date
Buil Ir�� Approval
b . 1 / date
1,2646&5
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Permit.No.
Date -
Distribution: Original -,Applicant, Blue=Office: Canary - Sales Tax:Pink - Applicant: Tag - Bldg Insp. -
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rt Collins
BUILDING INSPECTION DI
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address �,% y rc F C , -e
Name f. 6 r.5': o f J' F ,- c. i G ,
`v
�
Mail Address
O
j-! (i ff...S
Phone e/v's,
Name;,Fris„-.t
0
Address
c
0
U
License No.
Phone %`Y,Iit 3
c
Lot Block
Filing Number
Q
Subdivision
PUD
v
Parcel C/7/3/-. 2V- Ca<�;
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
1_
Est. Total Cost -9
(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 _. V-� - dale
"-A
— CLASS OF WORK —
New Alteration Addition Demolish
❑ ❑ ❑ ❑
Move.
❑
Plbg. Mach. Elec. Struct.
❑ ❑ ❑ ❑
Fire Prot.
❑
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.
I No. D.U.
Garage area
Fin. Bsmt. area
Type heat
I No. Fireplaces or stoves
— RELEASES —
Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
ram..
'
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Plant Investment
_Sewer
Storm Drainage
Electric Underground
7 tal,fees t k 1
Distribution'.Original- Applman l: alue- Otti't,Canary -sales Tax:Pin'k'--Appl icanlT.Tag-VIdg�Insp. I
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
a
d
( ) 1 I
d
1
at
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0
JLL
r))E1l tr C!. nJ
Street ,)x;''j
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02P056 np.43 A
MAR.17'87 mil`
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'ZBA Case # Date
BBACaseli -' Date
Building Insp., Approval
by - r +? date
r Permi`Nortt--�
' Date