HomeMy WebLinkAbout925 KIMBALL RD - PERMITS - 8/12/1985City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form unit'.
Press firmly using ball point pen.
Job Address crew
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Name
m
Mail Address
Phone _3�
Name--`'r"!r t i�i L1 ! I`rgS11'=r`tS2 4t'`�tn
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Address-
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O
License No. J> IA-71
Phone
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Lot Block
Filing Number
m
Subdivision t%
PUD
DESCRIPTION OF WORK
(7,.1 {•'�'?1 i�t'1i Pl :' #•i (:='r:� t` t I•': f•� -4 ;f" '
a
Stock Options
Plan No. Codes
ESL Total Cost D(-
lincluding 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.
44
signe
—
— CLASS OF WORK'
New Alteration Addition Demolish Move
M ❑ ❑ ❑ ❑
PI g. Mech. E_lec. ' St_ruct. , Fire Prot.
Occ. Type Const. �%_ �, Use Zone L
Use of Building l
Floor Area /..�(� Height
No. Stories �- Lot Area .? yf Frontage 3 gr ))
Occ. load Dec. CFiange from
Plat File No. 3 4 4( No. D.U.
Garage area �2 Fin. Bsmt. area
Type heat( t No. Fireplaces or stoves
— RELEASES — Dates
Zoning aS'
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation �� -� �FEES
Plan Check
Permit
Parkland _ ✓�If.01 fi'�-
City Sales Tax
St. Overs izing
Water Plant Investment T^[G
Sewer Plant Investment OCR% I ✓ '
Storm Drainage
Electric Underground
..Total Fees,,--
DislribuUon Orp,nal - Applicant. Alue�`Olilce: ,NL4 - Sales h�Pmk� Appbcanl: Tag - Bldg Ap \
DislribuUon Orp,nal - Applicant. Alue�`Olilce: ,NL4 - Sales h�Pmk� Appbcanl: Tag - Bldg Ap \
Off -Street Parking
L-)
(No. Cars)
Interior Lot
d
Corner Lot
❑
Reversed Corner Lot ❑
PRMTS 42 m
TAXPM I?n mo
L�
STOVR 0_.'7Q
V601r, 17(7660
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TOTL `t0 55
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Street
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ZBA Case #
Date.
BBAOase# f
Date
Building Insp. ' Approval
by
�Jdate
Pedrl
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