HomeMy WebLinkAbout917 ELM ST - PERMITS - 10/14/1986" ,, o., � . � ^' ---�,,,. �-- "r^r .. ,- Vic-; > .
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City Of F Ort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERbUT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name .: f
a�
Mail Address P
O
Phone AI:r
Name
m
Address
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0
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License No.
Phone
°
a
Lot
Block
Filing Number
N
a�
Subdivision
0
PUD
Parcel #
DESCRIPTION OF WORK
J' D
Stock Options
Plan No. Codes
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 laws regulating building construction.
signed ;date
— CLASS O_FWORK —
New Alteration Addition Demolish; Move
❑ o ❑ ❑ i❑
Plbg. Mech. Elec. rt Struct.1, Fire Prot.
11 to
Occ. Gr.
Type Const. _ e,'Use
Zone
Use of Building {
Floor Area ? �� i ".
Height
No. Stories
fLot Area ?
Frontage
Occ. load %x
Occ. Change" f rciffi�,,�+
Plat File No. µ E
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 ' ?'
�.� ,- `.- FEES
Plan Check
Permit
-
Parkland
City Sales Tax
f' y `-
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution: Original - Applicant: Blue-bffice,Vanary� Sales Tax: Pink�,Applican t;.Tag ='Bldg-lnsp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m
cc
}
co
c
0
v� 11
Street
c
0
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ZBA Case #
Date
BBA Case #
Date
?
Building Insp. '`-Approval
by date
R, a:a
"Per`mit•No.