HomeMy WebLinkAbout1221 S Bryan Ave - Permits/Reroof - 09/11/1986S
' 'City -rot - FOTt%CO111%1S" "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
o
c
Mail Address a
3
0
:T/s L - fJ 2
. Phone
0
Name �Y
Addresses o w.
o
�V S
U
License No.
Phone -?
�°-
Lot Block
Filing Number
.y
Subdivision
PUD
rn
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost -
(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 /rep�ulating building construction.
signed date
— CLASS OF WORK —
New AI " tion - Addition 'Demolish Move
❑ ❑ ❑ ❑
Plbg. Meth. Elec. Struct. Fire Prot.
❑ ❑ ❑ Cl ❑
Occ. Gr, Type Const' j �
Use Zone
Use of"Building
FloorArea
H
No. Stories
Lot Area
F outage
Occ. load
cc h om
Plat File No.
No. D.U.
Garage area
Fin. Banat. 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 -
r
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage -
Electric Underground
Total Fees
Oft -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot.-
❑
Reversed Corner Lot
O
_r
a
i
m
ix
VV
N
}
N
0
"V LL
Street
0
ZBA Case#
Date -
BBA Case #
Date
Building Ins p pproval
by date
Permit No.
Date
Jiatnbutt., Original - Applicant; Blue - Office; Canary - Sales Tax; Pink, Applicant; Tag - Pidg. Insp.
City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERPAT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
_ Press firmly using ball point pen.
Job Address ,r
Name
m
c
'_-+ _� •.�°,,,�> v,
Mail Address24
�
Phone
Name
5
m
Address_
License No.
Phonejo.i.
c
Lot
Black
Filing Number
S
�3
Subdivision
PUD
Parcel If
DESCRIPTION OF WORK
f
Stock Options
Plan No. Codes
Est, Total Cost
)including labor, material, profit)
1 hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordiCkances and state laws regulating building construction.
signed
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ D ❑ ❑ ❑
Plbg. Mkh. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ Cl
(
Occ. Gr. di -2 1 Type Const, °t,
Use Zone
Use of Building
Floor Area
Height
ries
Lot Area ,.� •T
F outage
ad
rPlat
Occ.-W'nge from
No. �.`"
No. D.U. .
Garage area If
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation %-�i��`?J FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
O e
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
^r
9
m
( 1
t 1
m
m
^
a
d
m
N
m
>
N
c
0
_✓
i
Street
a
Tt`Tii 'n. •��
m
>
r1G%71
{.o•��t a
.n
ZBA Case #
Date
BBA Case t% °
Date
Building Insp!d'
pproval
by
date
Date
gmal - AppllcenCblua - Ofhca, C ary - SaleS Tex', ➢mk - Appilcam; eg - Itlg. In