HomeMy WebLinkAbout411 S BRYAN AVE - PERMITS - 10/16/1987a -Q
City 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.
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Job Address 4�11 �7ot -}'�rn 6,r Va. n �'I�'�i'U'(A..
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Name i.A"I'+..i� ��'�Ty
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Mail Address17'�"'i7tlt:"3l
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Name
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Address
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License No. Phone
Contractor Sales Tax No.
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Block. Filing Number
Subdivision„_<. { 13(ff'G I"j-I
PUD
m
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Parcel #
DESCRIPTION OF WORK
reAAL1rf&At:
;fit 41e-1I
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Stock Options
Plan No. Codes
Est.Total Cost $2sll 00
(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 slate laws regulating building construction.
.:ate
signed
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OlstnbuNon^Original - ApPf cant Blue - Olfice', Canary - Sales Tax: Pink - AppllcanpNTag
— CLASS OF WORK — 1' \
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Flog. Mach. Elea Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type 1 1:1 :1
Use Zone
Use of Building A,\ (t;�,..•..:R.;L,_,.,-�
Floor Area
u
Heigrfit
No. Stories
Lot Area % rontage
Occ. load
Occ. Change trorl
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates(
,Zoning j f �S '° u f
Engineering
Fire Department
Electric Department r
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check C^6+z___3
Permit
+t a
Parkland
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City Sales Tax----F-� 7(
St. Oversizing
-
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
'Total Fees
Off -Street Parking
(No, Cars)
Interior Lot
s`6'
v
Corner Lot
❑
Reversed Corner
Lot ❑
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ZBACase#
Date
BBA Case #
Date
Building Insp.
- Approval
by
date
Permit No.
Date
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