HomeMy WebLinkAbout2933 Bassick St - Permits/Single Family New - 02/17/1987City xof Fort Collins? BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PMWT -AND CERTIFICATE OF OCCUPANCY
Applicant Complete this part of form only.
Press firmly using ball point pen.
Job Adtlress C% L? ;:'= 4-5
Name 10,'rn cq 'COnS%..
c
Mail Address
Phone y vvr
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Name or a-
Address
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0
U
License No.
Phone
4
Lot Block
umber�Filing
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,umber
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R
PUD
Parcel #
DESCRIPTION OF WORK- ---
Stock y/_ Options
Plan No.
^I%Codes
ist. Tpta1 Cost' i • -�
ncluding labor, material, profit)
I hereby acknowledge that I have read this application and
fate that tine above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
ksig—ned-
date,,
7
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— CLASS OF WORK —
New Alteration Addition Demolish Move
❑.i ❑ ❑ ❑ 1 ❑
Plbg. Mecpl" Elea Struc Fire Prot.
Ir ❑ ❑
Occ. Gr, _�
Type Const.
Use Zone 4-el-,
Use of Building r7 /01- f
FloorArea 1
Height
No. Stories /
Lot Area N - V 61
Frontage 6,:]
Occ. load
Occ. Change from
Plat File No. 5/ o
No. D.U.
Garage area
Bs!area ffi
Type heat L
No sty
— RELEASES — Dates
Zoning ; c*Z! f ( /k 7 0 i
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review ,~"#
-�C�C k-,
Special Conditions:
t -_t /IL:%/"_�_
s e
Valuation FEES
Plan Check
Permit
Parkland
i
City Sales Tax
St. Oversizing
Water Plant Investment
C U
Sewer Plant Investment
?[j
form Drainage
Electric Underground
Total Fees
Distkibution: Original -Applicant blue ,olrice \Canary - Sates Tax: Gink -'Applicant; Tag - Bldg. Insp. `
Off -Street Parking
(No. Cars)
Interior Lot
,fr
Corner Lot
❑
Reversed Corner Lot ❑
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ZBA Case #
Date
BBACase#
Date
Building Insp.
Approval
by�j!//J7��
date
Permij�Noy.,\, \
_ Date
City of
itirns BUILDING INSPECTION DIVISION Port Cro
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name it
`m
Mail Address
Phone
0
Name
d
Addressal ;y
c
o
i
U,
License No.
Phone ��
G
°
n
Lot 1�-;
Block
Filing Number
v
Subdivision -'
'
PUD
i
Q
�
Parcel # r41
DESCRIPTION OF WORK
e-
Er
l
r r
Options
(Stock
Plan No. Codes
Total Cost
Pst.
ncluding labor, material, profit)
hereby acknowledge that I have read this application and
tale that the above is correct and agree to comply with all city
�I
rdinances and state laws regulating building construction.
signed-' " i r = , _ date
— CLASS OF WORK —
New Alteration Addition Demolish
❑. ❑ ❑ ❑
Move
❑
Plbg. Mech. Elea Struct.
Fire Prot.
Occ. Gr. Type Const.
Use Zone
% y t
Use of Building r
FloorArea 1� �(
jHeight,-
No. Stones r
Lo, Area t
Frontage
/
Occ. load {'
Occ. Change�fromt✓
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
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 ❑
_r
m
`m
`Io
V
m
ry
m
y
1
N
c
0
i
Street
C
0
.ri
A
ZBA Case #
Date
BSA Case #
Date
Building Insp. - Approval
by date
�- Permit No._r
Date
Dis(ribulion. Original - Appmant.' Blue'Ouice: Canary -Sales Ta Pink -Applicant, Tag - Blop Insp.