HomeMy WebLinkAbout1221 Emigh St - Permits/Reroof - 09/03/1986I
City, -of : - Forte - 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 . 1221 Emigh Street
NameEVel n Traut
Mail Address 1221 Emi h Street
o
Fort Collins CO 80525
Phone 482-6389
Name Choice Roofing, Inc.
16
Address 3020 West Prospect
C
0
O
License No. S-583
Phone 221-4137
4
Lot
Block
Filing Number
Subdivision
PUD
Parcel # 87183-05-038
DESCRIPTION OF WORK
Two layers existing
Tear off 2 layers.
Material cost = 750.00
Stock Options
Plan No. Codes
Est. Total Cost $2 400.00-
(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.
3
si date
I
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.,
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type
se Zone
Use of d g
Floor e
t
No. torte
Lot Area
Fr age
OCC. oad
PC , a)o fr
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 ❑
_/A
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Street
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ZBA Case #
Date
BBACase#
Date
Building Insp.
Approval
by
date
Permit No.
Date
DisVibutiOn: Original - Applicant: Blue - Office: Canary - Sales Tax; Pink - Applicant, Tag - Bleg. Insp.