HomeMy WebLinkAbout636 S COLLEGE AVE - PERMITS - 4/5/1983City, of Fort Collins BUILDING INSPECTION DIVISION
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APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address -e'� P
Name e
Mail Address
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Phone i
a
Name
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Address u r d J
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U
License No. ,'
Phoney;
a
Lot
Block
Filing Number
b
Subdivision
0
PUD
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a
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DESCRIPTION OF WORK
APO
o.
-- i eAl
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 date
— CLASS OF WORK —
New Alteration .—Addition Demolish Move
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. f f
Type Const. .,
Use Zone
Use of Building --,1
Floor Area ..� e:-
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 �� I -/
r r --
Special Conditions:
Valuation FEES
Plan Check
)g
1, Ge.3
Permit
17211 1 5 3
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 ❑
to
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V
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a
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0
Street
C
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date[
Permit No.
Date
Distribution: Original - Applicant; Blue - Office; Canary - Sales Tax; Pink - Applicant; Tag - Bldg. Insp.
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