HomeMy WebLinkAbout628 ENDICOTT ST - PERMITS - 9/30/1986lty of Fort Collins BUILDING INSPECTION DIVISION
k APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
1 Applicant complete_tHis part of form only.
Press firmly using ball point pen.
Job Address Ub >;_..1.k.:. ,... ,; ". .
Name 14i'3. E.arid in c ',i
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Mail Address 626 r.,, 11,;, J,.
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-„_,Phone .t_ ' o
Name Mrs Varia'11 `-- .... .
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Address 62e D-Aiiva C S,.
Fort CQI.1s 30 00 .�,zj
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License No.
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Lot
Block
Filing Number
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Subdivision
PUD
Parcel #
DESCRIPTION OF WORK
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?UT 1 ,f•, <t. ,.
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Stock Options
Plan No. Codes
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Est. Total Cost J
(including labor, material, profit)-
I-fiereby 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 Cdate ..
1
— CVS OF WORK —
New Alte[[atI& Addition Demolish Move
❑ 6_ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ . / ❑
Occ. Gr. Type Const. Use Z me
Use of Building
Floor Area f �! -_ .,,{
Height]
No. Stories
'Lot Arga t oritageI✓f
Occ. load
Occ Chsnge�,fFonr `
Plat File No. ANo. 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:
"Xi
Valuation..ii FEES
Plan Check
.i
Permit
,
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
SotakFees
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
PRIM i;�n5o
NE3675 13" M 14.47
OCT.Oi'06 �(}T 31.97
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023676 13.54
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OCT.01 '1i6
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ZBA Case # Date
BBACase# y ) Date
Building
Insp. " plt Approval
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by
,(� I date
Permit.No.
Date 1
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