HomeMy WebLinkAbout210 Circle Dr - Permits/Addition or Alteration - 02/05/1987s,a.a�..:.�4=:.iFs�,+-:i,.,�rrf^sb-•f.1•w.�..--""`-•---"-w.-.y..:.:.-�r::.lv�ai:.=.;.^wa].r;c.»�vir«.t>;.�.:?-„�:v::;_4�.ga.•i,tr�>,r�"'rv=,i:s�T .r•^•et.ati.�:..7 +»Yi:'sS :.+' i3�+S"-wW: ''�':,'�*iY:r'F +i�'�y�3.V :F-�+ia;:.a�^i» +--
Clty 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 n 1 (')
NameiD
Mail Address 1 t _ 1-J .
3
/
Phone
o
Name
m
Atldress z; /76m,
c
f
License No. .:�» �
Phone a f _ 7f f Eye
c
n
-
Lot 17
Block
Filing Number
Subdivision .C.At ,«�
PUD
q
DESCRIPTION OF WORK
A•.T' �.r'tl-1'1.
Options
(Stock
Plan No. Codes
^y
Est. Total Cost f') u:r=• ^''•
!including labor, material, profit)
1 1 hereby acknowledge that 1 have read this application and
state that the above is correct and agree to comply with all city
and state laws regulating building construction.
ordinances
signed date
L4
— CLASS OF WORK —
New Alteration Addition- Demolish Move
❑ ❑ t7� ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ O/� ❑, ❑
Occ. Gr. Type Const.
Use Zone R4.
Use of Building
FloorArea
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 Ae ,— 1.6 �r -7 t,
Engineering
Fire Department
Electric Department
Water & Sewer r
Plan Review 5:,r j+Y.� 4) D Pv OCL- v 15 A
Special Conditions:
Valuation FEES
Permit
3
Parkland
City Sales�f!;('r`^j
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
Total Fees
oisctlibution:Original-ApOiicanr blueyditice; Cariery'Sales Tax, Pin 4Aaant..Tag-d9 Insp.
Off -Street Parking J `�-/
(No. Cars)
Interior Lot r7�y
Corner Lot ❑
Reversed Corner Lot ❑
1 �
IV r
.11N
�
Street
PRMTS 84.37
TOIL 84,37
N966832 11:53 A
r87
a
ro S)s:
�c
ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
z ;
Permit No.
Date
Ty