HomeMy WebLinkAbout1706 Effingham St - Permits/Footing and Foundation - 03/19/1984iy 6 .-Fbrt Collins BUILDING, INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point P 9 n.
Job Address
Name ¢Jjjj.
Mail Address
0
A .
Phone
Name =7
O
t5
Address
0
Q
License No.
Phone
c
2
Lot Block
Filing Number
Z3
Subdivision V �
PUD
_j
DESCRIPTION OF WORK
7,
Stock Options
Plan No. Codes
Est. Total C6st
(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.
signed 'da -) te. fIf ty
151A
- CLASS OF WORK -
New Alteration Addition Demolish Move
Pl6g. Mech. Elec. Struct. Fire Prot.
0 0 0 0 0
Occ. Gr. z
Type Const. /,J
I Use Zone
Use of Building ,_s r- ;�'c
Floor Area
Height
No. Stories
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 sj
Permit
4
2
Parkland
City Sales Tax
St. Oversizing
Water'Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
UTotal Fees
11a7-11\ IV
Distribution: original - Applicant; Blue-10f4ce,"&oary - Sales Tax: Pink' Applicant: Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot 0
Corner Lot 0
Reversed Corner Lot 0
ca
(Dca
2
co
U)
C
2
_V
Street
OTT L I. B 25
fi
MAR. t 9 '814
0
cc
ZBA Case # Date
BBACase # Date
Building Insp. '4 Approval
by
_JLV date
Permit
2 N �IVOl-� I
Date
, -1- 4 ; " I