HomeMy WebLinkAbout2506 Kodiak Rd - Permits/Addition or Alteration - 09/11/19841-".-.,r-....i__..-.-,�.,�.!'-•-�.._.�.,iro-+-�•.�-�.�;-.-•�c-,�*�i,.-...�+`�...'r•v�+i.^'.at'itr•-.--... r-•-..-.;,.o,--.-...c•...-.;.r^->..-i�=-.,.n..u-._.-....-,_.�,...e..�.-.. ,.-m ,---:�r.-• - .. t.r ..w-.: ""L-v-v; � .?--Y_—�,��eG--� ''' U�.3,'�•,,..,.�. - --
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 Address L�
Name' IL
Mail Address .� r
4e 1f _A L-A id A- !ti
Phone
Name J.,
EA��..
Address
U
License No.
Phone
a
Lot
Block
Filing Number
y
-
Subdivision
To
PUD
Q)
J
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost F f
(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 ,j' _� �" t...-
— CLASS OF WORK — -
New Alteration Addition Demolish Move
. ❑ N❑F ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
FloorArea _ �,4 �`
Height
No. Stories
L'ot _Area},.
Frontage
Occ. load
Occ: Change from' ,,'�
Plat File No. s%5 /
Noy D.U.
Garage area
s
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
- ✓� t
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
T.otal�Fees
' Dlstli6uti4,: Original - Applicant T9iue� Office; Canary ' Sales Tax: Pink- Applicant: Tag - Bldg. Insp
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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CO
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Street
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CEP.....
ZBA Case # Date
BBA Case # Date
Building Insp.. Approval
by
date
R/I S
C 1
Permit Noti ...
3 Dat,61