HomeMy WebLinkAbout145 3RD ST - APPLICATIONS - 1/18/1986City 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 `r - rd
Name
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Mail Address
3
O
Phone
`o
Name
Address
c
0
U
License No.
Phone
4
Lot �i
Block 0
Filing Number
N
Subdivision
UG rr n
0
M
PUD
d
J
DESCRIPTION OF WORK
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Oct
Stock Options
Plan No. Codes
Est. Total Cost roS"oo '`
(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 Alt tion Addition Demolish Move
Plb Mech. Elec. Struct. Fire Prot.
4L RK ❑ ❑
Oc . Gr. Type Const. V w
I Use Zone L /KM
Use of Building
FloorArea
Ofl
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heatYU0 jyr^
No. Fireplaces or stoves
— RE SES — Dates
Zoning CKr is'$
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check CIO
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution: Original - Applicant, Blue - Office. Canary - Sales Tax', Fink - Applicant, Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
a
m
`m
a�
VV
W
y
65
c
0
"J
i
Street
c
0
a
ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
Perri No.
Date