HomeMy WebLinkAbout904 LAPORTE AVE - PERMITS - 5/27/1987City 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 a Y Z Q
Name .73(pC
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Mail Address lj f Lµ1,107j.
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Phone
Name -1 COR 7 A`
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Address 7a F — _o
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License NO.,V ill
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Lot
Block Filing Number
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Subdivision ' r'
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PUD
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Parcel # T 711 - - O�Z
DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
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Est. Total Cost G G
(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
ordin ces and state. I Ns regulating building construction.
igned APKd to
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— CLA S OF WORK —
New Alterati
❑
Addition Demolish
❑ ❑
Move
❑
Plbg. Mec
Elec Struct.
❑
Fire Prot.
❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
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No. Stories
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Fr
age
Occ. load
cc.
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Plat File N
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
_--' FEES
Plan Check
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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Street
PRMTS 108.67
TAXPM 125.12
TOTL 233.79
CHCK 23,
N20359
03:15 A
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MAY,27'87
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ZBA Case#
Date
BSA Case #
Date
Building Insp.
Approval
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Permit No.
Da e
,79
Orsvi lion: Original -Applicant. Blue -Office, Canary -Sales Tax: Pink -A pplicant. Tag -Bldg, Insp,