HomeMy WebLinkAbout145 3RD ST - APPLICATIONS - 4/8/1985�ity
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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 {—
d
Mail Address
O
..
Phone
Name I
m
Address ;
c
O
O
r
License No. Phone
°
Lot
Block
Filing Number
N
Subdivision
_ it
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0
PUD
DESCRIPTION OF WORK
T
b 't7
Stock Options
Plan No. Codes
Est. Total Cost
lincluding 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
❑ 0 ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Grj
Type Const.
Use Zone'%
Use of Building
Floor Area _
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 I- r
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check�-
d
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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r
m`
d
f
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Street
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cc
ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
/ a
ermit No. it
Date
DisbiAubLn Original - gpNLcanti,8luej gHice, Canary °
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