HomeMy WebLinkAbout213 S Grant Ave - Permits/Water and or Sewer - 03/14/1988City
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
Name Y A, �
8
Mail Address y�+
%*2
Phone
ff
Name
Address 7 C/7�l/!� - -
-10
V
License No.
Phone
o
Lot
Block
Filing Number
b
Subdivision r4
PUD
C� f
DESCRIPTION OF WORK
fit/ ! r
liei
Stock Options
Plan No.
�C}odes
Est. Total Cost 0� v 62
(including labor, material, profit)
I here knowledge that 1 have read this application and
St ate t th above is correct agree to comply with all city
ordi nce and state law ulating building construction.
signed ` ate
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. r4ruct. Fire Prot.
❑ ❑ Q %_/1 ❑
Occ. Gr.
Ty,pe Cons ` Use Zone
Use of Building
Floor Area `�.
Height
No. Stories
of Are 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
Permit
rp
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
.A
to
y
m
m
—IV
d
r- m
co
M3 f1S 14!,,0i
A o
MAR. 15 9C JU
Street
"'TRN
5
T
227116
14400
MAR a'S'gz
o
r')
7Cy -s c i c_
to
T01
^A f^3:
,'8Q
ZBA Case #
Date
BBA Case #
Date
Building Insp.
Approval
by
date
G914
�znPermit
�114186
No. =
Date
0 i7l
Distribution: Original - Applicant; Blue - Office; Canary - Sales Tax, Pink - Applicant; Tag - Bldg. Insp.