HomeMy WebLinkAbout925 BOLTZ DR - PERMITS - 8/5/1983'N- r'.v-e-t•vr;. _ -=r�fu,�s4:4�at�$iitr.ld!`-',t„'�'1
ty of -Fort Collins YBUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
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Name ry•^
Mail Aid- dress 9�-' c +,' /y"
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Phone ,• (> " .,� 7`,7r1
Name
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License No.
Phone '
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Block
Filing Numbero '
Subdivisions""-�.,�_ •�'"�l
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OF WORK
y JDESCRIPTION
Stock Options
Plan No. _ Codes
Est. Total Cost
(including labor, material, profit)
1 hereby acknowledge that 1 have read this application and
state that the above is Correct and agree to comply with all city
ordinances and statelawsregulating building
f� construction
I.
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signed/ .-- ' ) ' date
— CLASS OF WORK —
Ne❑w Alteration Addi❑tio�Dem❑olish Move
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area L, 4.7
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning //6 b - `l ' to
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
t f
Permit
Parkland
City Sales Tax
1?
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
TWO Fees
natiibution. Onginal - Applicant: Mue: sales ., ➢mk - Applicant; Tag 4dg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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All
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Street
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ZBA Case #
Date
BBA Case H
Date
Building Insp., ' -� , Approval
by
/-�7. date
j
Permit N'
Date '