HomeMy WebLinkAbout1637 Kirkwood Dr - Permits/Sprinkler - 07/19/1988ty
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 A, 3 7
Name ZV.
`m
c
Mail Address
3
o
Phone
Name
o
U
Address z r
FD CO[�il/S
U
License No. C,Pidone
Contractor Sales Tax No.
Lot D
Block
Filing Number
_a
v
Subdivision /f
°
A
PUD '
d
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
m
Est. Total Cost
(including )abor, material, profit)
I hereby acknowledge that I have read this application and
state that the above is correct and re to comply withal] city
ordinances and state laws re sting building construction.
e
— CLASS OF WORK —
New Alteration Addition Demolish
❑ ❑ ❑ ❑
Move
❑
Plbg. Mech. Elec. Struct.
❑ ❑ ❑ ❑
Fire Prot.
❑
Type Const.
Occ. Gr. Ty
Use Zone
Use of Building
Height
Lot Area
Frontage
VheatNo.
Dec. Change from
.
No. D.U.
a
Fin. Bsmt. area
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 "t
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
r
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑ -
^fin
i m
_IA
IV
I 1 ( 1
N
^^D
m
N
y
I N
T
fn
`c
0
"JLL
PRKTS 15.00
Street
i iJ.0
N21768 11:43 A
JUL.20788
c
0
m
9
ZBA Case # Date
BBA Case # Date
Buil I Approval
b date
Permit No.
Date
001
Distribution Origins plicanC Blue - Oitice: Canary - Sales Tax: Pink - AppllcanP, 1ag - Bldg. Insp.