HomeMy WebLinkAbout2819 Mckeag Ct - Permits/Single Family New - 02/11/1988City of Fort Collins
BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
t Applicant complete this part of form only.
Press firmly usiingpallipoint pen.
Job Address-q r C - ' t' f-
Name
m
Mail Addr ss � - S 1-
3
O
� Phone
Name
g
U
Address
N
V_
U
License No.
.i
Phone " ,3
Contractor Sales
Tax No.
C
2
n
Lot
"
Block
Filing Number
Subdivision
PUD
3
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost
(inclutling labor, material, profit)
I hereby acknowledge that I have read this application and
stare that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
signed t date
— CLASS OF WORK —
N Alteration Addition Demolish Move
❑ ❑ ❑ ❑
prbg. Mech. Elec. Struct. Fire Prot.
.❑ ❑ ❑ ❑ ❑
Occl Gr. nr •
Type Const,C v�
Use Zone - I
Use of Buildirigf r S F�r?
Floor Area L=:�)
Height '
No. Stories,
Lot Area''`?f` .
•/
Frontage �
Occ. load
Dec. Change from
Plat File No. It - /
No. D.U.
Garage area _ .
. Bsmt area
Type heat •�'Ci r
ram'. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering r.•
Fire Department
Electric Department
Water & Sewer
Plan Review r; r
Special Conditions:
'
Valuation t� i "Zr g (i FEES
Plan Check
Permit
, 5
Parkland
11141r, 110
City Sales Tax
'S( . Q 0
St. Oversizing
r X, L90
Water Plant Investment
Sewer Plant Investment
-
Storm Drainage'1 17. _ -�
Electric Underground
% prrJ
Total Fees,
Off -Street Parking
C'
(No. Cars)
Interior Lot
,IP
Corner Lot
❑
Reversed Corner Lot
❑
m
ar
if
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C 1
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V,
Street
C
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5
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ZBA Case #
Date
BBA Case #
Date
Building Insp. t f Approval
by r , date
,,,Permit No_.)
Date
Distribution: Original - Applicant, Blue - Ofhi2. Canary - Sales Tax.Ank - Applicant, Tag - Bldg. Insp.