HomeMy WebLinkAbout906 KIMBALL RD - PERMITS - 3/17/1983.t. rtNl„r;�;,"�.OG:yA/'mar^K'tr'h'✓1+",r^rt�.ir'tiea-'>,� ji-e.l'saw,•7++�>:,¢+'.y:°,,;'$•;4Cirx�+i
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
m
c
Mail Address-
O
Phone yr.- /:;- r_'
0
Name •i, ;-r r'J: ; c F
ro
Address
U
License No. gj
Phone
c
Lot
Block
Filing Number
L.
B
Subdivision tb%ra•/"'r +'
PUD
d
J
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est.Total Cost Zvf� < •"eqy
(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
all ❑ ❑ ❑ ❑
PIW. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ Gr. Type Const. • -.
Use Zone X_";�
Use of Building
Floor Area I7 ;l`"
Height
No. Stories 7
Lot Area, %/i y zj Frontage
Occ.load
Occ. Change from
Plat File No.
No. D.U.
Garage area ,._-;,y
Fin. Bsmt. area .,..--
Type heat y;,'f y L
No. Fireplaces or stoves o
— RELEASES — Dates
Zoning 6/I I / k 2
Engineering
Fire Department
Electric Department
Water & Sewer r
^
Plan Review V q I 11 -,3f ;'AR
Special Conditions:
Valuation FEES
Plan Check �i
,.,r2Q --7 "zr
Permit
!l
Parkland
.SSA -QU
City Sales Tax
St. Oversizing
d 'Y'Gi C.'V
Water Plant Investment
1'v-e 5. s; o
Sewer Plant Investment
/3.519 • UO
Storm Drainage
Electric Underground
o� / • G'C!
cd r�� � h rr
�O'to• v^,
Total Fees
d � r 7K-
,
Off-Street Parking
(No. Cars)
Interior lot
Corner Lot
�❑
Reversed Corner Lot
❑
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0
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Co
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Street E..'.--
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12
ZBA Case N
Date
BBA Case N
Date
Building Insp. Approval
by date
Permit No.
Date
7
dl ulbu1a,X'0rigmal - Applicant; Blue - 6fiice: Carl'ery - Sales Tan', Pink - Applicant, Tag - Bldg.tiasp.