HomeMy WebLinkAbout2918 Cimarron Ct - Permits/Addition or Alteration - 06/06/1983L^."'_'�`�•.F yy''�'i`-'�.vx•.;�„+-� .nr^�f"�fi=SYy�ij'`e'wPpusk sn�'yy�'�-�,�y}�`"V�'r'Y'}"'n'r<'ta .cLS ."....,
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 � (' /
Mail Address
c
r:. �`• ,.��,
_ Phone '111 _1 -._"Tin ( S7
Name
0
Address .ti�jf-t. `i -% I .: i �'3s=•C C _. �i /� i
i�(i�j! /�'
License No.
c
of
Lot
Block
Filing Number
Subdivision
N
PUD
v
J
I DESCRIPTION OF WORK
I
`- 17 X--t t ri 11 C i
r
Ll
I
I
I
I
I
Stock
Plan
Options
No. Codes
Est.
(inbluding
Total Cost
labor, material, profit)
I hereby acknowledge that I have read this application and
state that the above is,correcynd agree to comply with all City
ordinances and sta��ulating building construction.
signed v G / dote
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const,
Use Zone
Use of Building
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 Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES c'�s 1
Plan Check
Permit
- ;,';.> t % •- •.
Parkland
City Sales Tax'
-
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
TOrel.Fetis 1 . i _ C..(�
t'
Distribution: Original - Applicant; Blue - ofh e: tfl. - Sales Tax, Pmk Applicant, Tag - B'Idg Irisp.t S p'`_3
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
N
s
`I9
V
c
0
LL
�J
Street
c .
a
ZBA Case#
Date
BBA Case #
Date
I`sp. Approval
b date
by biif
10
f !;
,f.
Permit No.
Date