HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 4/6/1987city 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
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Mail Address
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Phone
Name
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Address
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License No.
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Lot
Block Filing Number ,
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Subdivision
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PUD
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Parcel N
DESCRIPTION OF WORK
a-/ 6
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Stock Options
Plan No. Codes
Est. Total Cost a C/ v
(including tabor, 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
I
— CLASS OF WORK —
New AltZn Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const. -
Use Zonts
Use of Building
Floor Area
lg
No. Stories
Lot
Pro tage
Occ. load
INC. a from
Plat Fite No.
N . D. .
Garage area
. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
epartmentewerew
E
onditions:
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 Corner Lot
❑
_,A
a
`m
`m
d
N
I 1
9
N
m
c
O
v`
d
Street
PRMTS
68.50,
TAxPM
114.77
TOIL
183.27.
CHCK 18
1`198705 21:34 A
APR.06'87
a
I
ZBA Case If
Date,
BBA Case ff
Data
Building Insp. Approval
by
date
`! ✓✓
Permit No.
_ Date
27
Applicant, Blue -Office, Canary -Sales Tax. Pink -Applicant, Tag - Bldg, Insp.