HomeMy WebLinkAbout914 S COLLEGE AVE - PERMITS - 4/20/1987City 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 Address91N
Name
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Mail Address
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Phone
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Name
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Address LA Z"(",' .ti,: t -AIA \ �
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License No. `-(
Phone
0
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S
Lot
Block
Filing Number
L2
Subdivision
m
PUD
m
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Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, material, profit)
I hereby acknowledge that 1 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
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
No, Stories
Lot Area Frontage
Occ. Change from
Occ. load
Plat File No.
No. D.U.
Garage area
Fin, Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering f-+�
Fire Department {%yt[,
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check��
Permit
Parkland
City Sales Tax
13`�j ,C (1 911 rT
St. Oversizing
'
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
fl
it
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
i
v
V
d
^A\
d
c
0
Street
AMT.
RECEIVED
a
APR 2 0 JW
POudre Fire Authority
By
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
342
Permit No.
Date
distribution: Original - Applicant, Blue - Office; Canary - Sales Tax; Pink - Applicarn, Tag - Bldg. Insp.