HomeMy WebLinkAbout1962 Massachusetts St - Permits/Single Family New - 02/04/1986City
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 1962 Massachusetts
Name Everitt Humes, Inc. `
`v
Mail Address Y b 214b
3
0
Fort Collins CO ;siftiu
Phone 4k.4-4791
`
Name bill Gursxi
o
1^w
Address 3Rt10 S. Colle
o
Fort Collins, CO ouy2b
v
License No. L-17
lPhone 464-491
0
Lot 4.9
Block
Filing Number
n
Subdivision Timberline Village
PUD
J
DESCRIPTION OF WdRIV 7 r ''
Single Family
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 regulating building construction.
�- signed • f . fT. e-- ,date \�
— CLASS OF WORK —
NNw Alte tion Addition Demolish Move
❑ ❑ ❑
Plbg. .-•Meth. Elec. Struct. Fire Prot.
❑ 11 ❑ --- ❑ ❑ ❑
Oct Gr. ,3i Type Const..:i... J
Use Zone
Use of Building -
FloorArea jl
Height
No. Stories 1
Lot Area 47:.,:
Frontage 1J. rJ,)
Oce. load
Occ. Change from
Plat File No.
No. D.U.
Garage area'44' / i
Fin. Bsmt. area
Type heat GFA
No. Fireplaces or stoves 1
— RELEASES — Dates
Zoning 1
Engine';�jl'g'
Fire Department
Electric Department
Water & Sewer
Plan Review cQl
Special Conditions: f _
Valuation FEES
Plan Check f{ �:�
/�>•
Permit
Parkland
City Sales Tax
1 ✓
St. Oversizing
Water Plant Investment
4
f
Sewer Plant Investment
-
Storm Drainage
Electric Underground
TQtai Hips \ \
Off -Street Parking
(No. Cars)
Interior Lot J7
Corner Lot 71
Reversed Corner Lot ❑
o
1 m
y
`f
VV r
m
^
m
m
\ o
I
t
-,
Street 47
-
c
0
-74
ZBA Case # Date
BBA Case # Date
Building Insp. Approval
J
by date
\ P\etrmit No.r----
ate
Distribution . Original - ApplicahC,elue - Office. Ganiry.- Sales Yax; ➢ink -Applicant: fag - Bldg. Ins,