HomeMy WebLinkAbout1600 Brentford Ln - Permits/Electrical - 06/23/1986ty 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_., ' r
Name "' -rt e'
d
c
Mail Address
0
1 00-
'`% Phone
Name t
,. r .•,f ":�yr ir. `3'
�
Address
O
License No. Phone
4
Lot Block1 Filing Number
a
Subdivision
o
R
PUD
m
Parcel #
DESCRIPTION OF WORK
} .
r
Stock Options
Plan No. r r
sCodes
Est. Total Cost
(including labor, oia`&61, profit)
1 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.
signed'
j
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr, Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
I 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
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
ota a kj
Distribution- Original - Apphc.4t: BI e - Of e, ary - Sales Ta - -Applicant, Tag _- BI4g. I,fft�
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
m`
Y
�a
`m
rr
—V
N
^^D
N
N
j
in
0
0
LL
"J
Street
PRMTS 5,00
i HArl7 It, to
TOTL 9.17
CHCf;
N29639 21a12 r9
JUN.24'S6
0
ZBAOase# Date
BBA
Case # Date
Building Insp. Approval
by
date
Permit No. =
- gate