HomeMy WebLinkAbout3100 Eastborough Dr - Permits/Addition or Alteration - 12/31/1999City
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
m
Mail Address Z� ��,;•, ,
O'-^"'
Phone "—
0
Adtlress
((1�C.Q
O
License No. �--:
Phone '7 %' =,-U
c
°
4
Lot
Block
Filing Number
m
Subdivision
DESCRIPTION OF WORK
I
Stock Options f t4
No. des -
Ilan
Est. Total Co
t
(including la
or, m terial,,:Pf&rt) W
I hereby acknowledge that I have read t is application and
state that the above is correct and agree t comply with all city
Rordinances and state laws regulating uildmg construction.
;� a-
signed„,. \
I
r
— CLASS OF WORK —
New Alteration Addit
❑ ❑
n Demolish Move
❑ ❑
Plbg. Mech. El e Stru I. Fire Prot.
❑ Ell❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area - r
Height
No. Stories
Lot Area
Frontage
Occ. Ioad
Occ. Change from
Plat File No. ,F ;� --
Np-D.U.
Garage area _ ( 1 f
Fin. Bs t. area ( j
Type heat'fj !
No. Firep{aces or_stoves
— RELEASES = L. Dates
-Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review—
pecial Conditions: Vey GA C3 l VL
/Juc.v_j.. A_s Atyc_
S
QL. V G
V `t731r,
WAwx ,.A i4t,UAA, 40
s
FEES
k
rParktand
I
Tax
—
j1+riT
St.Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
_ ,nt 1
V
Oft -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
v
Y
/ _ ¢
V
m
n
�
Y
c
0
"JLL
Street
S
lf.��
0
ZBA Case a Date
-88A Case If t f Date
Building Insp, r tJ'/-`=-Approval
by �, ). date
ermit No.
Date
do
eistntiutlon: Original - Applicaw+H tP e: Gi�i8ry - MT, s 77,vmk
1 /