HomeMy WebLinkAbout400 E Pitkin St - Permits - 11/21/1988"7`,,I - 7, .fir.,.'
City
ter.: -ice
of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PEll AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 400 �ITIC�I n1
Name A
o
Mail Address �`\'1� ---
_,�. C ( I t til C. C
I Phone 7 30-6
Name
o
Address
C
U
_ _
License No. '.. Phone
Contractor Sales Tax No.
-°-I
Lot- Block �`j Filing -Number-
--
Subdivision C PC
--- --- �- --.� --
PUD
a
II, Parcel #971311 0' `
DESCRIPTION OF WORK
- -
(�eV t_
_G _ C �,� STD ., t✓, t��
AeA l��.,,.e7r
Stock Options
Plan No.. _ Codes ----
Est. Total C" 2✓..��1 __.___— __
(including labor,, rhattteerial, 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 st,,1t s regulating building construction.
signed date
— CLASS OF WORK —
New Alteration Ad i n Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. E ec. Str t. Fire Prot.
❑ ❑ ❑VNI ❑ _
Occ. Gr.
Type Const. v Use Zone
Use of Building
Floor AreaHeight
No. Stories Lot A ea (✓OC? Frontage
Occ. load
Occ. Change from
Plat File No.
N
Garage area
Fin. Bsrrt.(w4a
Type heat
No. Fireplaces or stoves
— RELEAS/EiS--t Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
2-
Permit
(LCj `
Parkland
City Sales Tax
St. Oversizing
_
Water plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Datrd Mier. Original - Applicant. Blr.c - Oil ce Canary - Sales Tax .Prr K Applicant Tag - Bldg. Insp
Off -Street Parking /
(No. Cars)
Interior Lot ❑
Corner Lot C•�
Reversed Corner Lot ❑
}
a�
1 (V
l S l
a
m
co
Street
0
ZBA Case # Date
BBA Case # Date
Building Insp. /1 proval
by \ -' date
Permit No.
Date