HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 2/24/1987City 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
Name ntzm, 261�&
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Mail Address
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Phone
Name
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Address_ L y S
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License No. S
Phone
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Lot
Block
Filing Number
Subdivision
PUD
m
Parcel #
DESCRIPTION OF WORK
F7
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Stock Options
Plan No. Codes
Est. Total Cost .
(including labor, matey al, 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.
2-=0ti/
signed date
i
— CLASS OF WORK —
New Alt tion Addition Demolish Move
❑ P❑ _ ❑ ❑
Plbg. M ch. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area..
h
No..Stories
Lo A ae Frontage
Occ. load il,cc.
an from
Plat File
to
N
Garage area
smt. 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 CornerILot ❑
s
V
d
_1D
m
E
o
_JLL
Street
PRMTS 86.50
TAXPM 145.75
TOTL 232.25
CHC4t . 23
N97491 22:36 A
°
MAR.02'87
D
II
1
ZBACase# Date
BBA Case # Date
Building Insp. Approval
by
date
70 7 ':
Z4 8 7
Permit No. j
Date
25
DaMbutibn> Original - Applicant: Blue - Of ice: Canary - Sales Tax: Pink - ApplicanC Tag - Bldg. Insp.