HomeMy WebLinkAbout636 S COLLEGE AVE - PERMITS - 4/13/19831tV 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
Name
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Mail Address,--,,, n
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Phone
Name '0e1r�•
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Address 4' f
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License No. ,4$ C
Phone
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Lot
Block
Filing Number
Subdivision
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PUD
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DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Cv;
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 law regulating building construction.
l signed ( ` date
— CLASS OF WORK —
New -Alteration Addition Demolish Move
6f ❑ ❑ ❑ ❑
Plbg. Mach..-- EO, St Oct. Fire Prot.
❑ GY
Occ. Gr. Type Const.
Use Zone
Use of Building
FloorArea
Height
No. Stories
Lot Area
Frontage
Occ. load
Oce. 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 /-f (✓,p\`
FEES
Plan Check
Permit
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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
❑
9
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Jli
Street
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ZBA Case#
Date
BBA Case
Date
Building Insp.. Approval --
/
•tiY:,',:� date
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APR 13
Permit No.
Date
Distribution Original - Applicant, Blue - Office', Canary - Sales Tax; Pink = Applicant'. Tag - Blog. Insp.