HomeMy WebLinkAbout1 OLD TOWN SQ - PERMITS - 7/27/1988City 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* I e)L_�
Name lvwa-�1
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Mail Address
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Phone z_Z — CA
Named
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Address
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License No. I%( Phone 2 -� C,
Contractor Sales Tax No •2 Z Ci
Lot
Block
Filing Number
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Subdivision
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PUD
Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No. Codes _.
Est. Total Cost' _ __ _
(including labor, matena, 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 statelawsregulating building construction.
signed date
— CLASS OF WORK
New Alter ion Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. MIbch. Elei Struct. Fire Prot.
❑ ❑ 1t, ❑ ❑
Occ. Gr.
Type Con st. se Zone C/
Use of Building
FloorArea
Height
No. Stories
Lot Area
Front g
Occ. load
Occ. Chang IT
Plat File No.
No
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
/�
Zoning `/
Engineering
Fire Department �r
Electric Department
Water & Sewer
Plan Review,
Special Conditions:
1/-.Ihkn 41,,,_ jv,
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Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
7
__
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric_ Underground
Total Fees
Distribution'. Original - Applicant. Blue - Office. Canary - Sales Tax'. Pink - Applicants. Tag - Bldg. Insp
i
Off -Street Parking
(No- Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by ILE, date
Pilee
Permit No.
Date