HomeMy WebLinkAbout1 OLD TOWN SQ - PERMITS - 9/10/1984City of Fort Collins
BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
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Job Address
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Phone
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Name
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Address ��%!�c
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License o. Phone �U
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Lot
Block
Filing Number
Subdivision
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DESCRIPTION OF WORK
Stock Options
Plan No -----.--Codes
Est. Total Cost
(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 state laws regulating building construction.
- ——
signed --- _- date
— CLASS OF WORK —
New Alteion Addition Demolish Move
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bg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑
Occ. Gr. Type Const. Use Zone
Use of Building
Floor Area 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
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
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Off -Street Parking
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Off -Street Parking
(No. Cars)
Interior Lot
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Corner Lot
❑
Reversed Corner
Lot ❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
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Permit No.,
Date