HomeMy WebLinkAbout328 W MOUNTAIN AVE - PERMITS - 10/22/1985 (2)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.
Job Address3Z,'X W I�i QU?y)
Name
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Mail Address-
O
A Phone
Name y(y}
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Address I } )
Ut
License No.
PhoneZZ
n
Lot t
Block i Filing Number
H
Subdivision
PUD
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1�1m
1 '. D V
UESCRIPTION Ol= WORK
Stock Options
Plan No. Codes
Est. Total Cost ' r�
(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.
/slgner1 ---- date
— CLASS OF WORK —
Nety Alter n Addition Demolish Move
l� ❑ ❑ ❑
Plbg. Mach. Elec. Slru Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building v � c.,
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 Orparfinent-
Electric Department
Water R Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
i
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
/
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees ,
Distribution. Original - Applicant, B13 - Office •Canary - Sales tax; Piqnk - Applicant rAq - Bldg. lose.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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Cr
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Street
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ZBA Case #
Date
BBA
Case #
Date
Building Insp. r - -Approval
by
date
Zz
Permit No.
Date