HomeMy WebLinkAbout1603 Layland Ct - Permits/Reroof - 12/31/1999ty
_='<34:•l..-�,-.�...-�......:'y�..-^fr�'^'`;`..''',�',`a.i'..,�.%�iv.n.,�..�,f`-;.-.n�';q..-c.r`?--y�..R,.-•'ti3�-..r-.-
of Fort Collins BUILDING INSPECTION.�DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Pressfirmlyusing ball point pen.
Job Address (� 4 oyH
Name
`,
C
Mail Address ' •'
"<
Phone
Name lyr'
0
@
Address
C
O
License No. ,i- >
Phone 1 f • -`<r i 7
Lot
Block
Filing Number
Q
Subdivision -
d
Q PUD
m
rn
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
1 `
Est. Total Cost - -
(including labor, material, profit)
:I hereby acknowledge that) 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 date \
— CLASS OF WORK —
New Alterati Addition Demolish Move
❑ ❑ ❑ ❑
Mg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building •( ' }
Floor Area
Height Itt„ti`
No. Stories 1
Lot A`rea�.- j
iFrontage
Occ. load ,
Dcc! Chinge' fromr -
Plat File No.
No..D!U. v"
Garage area
FiniBsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
r
Valuation { % ( _ �FEES
Plan Check
Permit
,,X
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fbes k' C
Distribution: Original - Appl[Anl: Blue - Office;"Canary - $ales Tax. Pink - Applicant, Tag - Etdg. Insp
\ \r
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
v
m
r
ro
t 1
( 1
in
i
in
c
0
LL
'J
Street
r,
r
a `
ro
ZBA Case #
Date
BBA Case #
Date
Building Insp. _Approval
by date
1.
1/
7 Permit No.,
Date