HomeMy WebLinkAbout4124 Suncrest Dr - Permits - 10/07/1987city Of ` Fart 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 ZYE�T$
Name Rf
a
c
Mail Address
3
O
Phone
Name
o
u
Address
E
c
o
U
License No. _
Phone
2
Lot
Block
Filing Number
n
Subdivision
PUD
m
Parcel #
DESCRIPTION OF WORK
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
Isigned
— date--
— CLASS OF WORK
New Alteration Addition Demolish Move
a ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Area
Height
tories
E
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No. _
No. D.U.
Garage area
Fin. Bsint. 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
Parkland
City Sales Tax
St.Oversizing
Water Plant Investment
_
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution: O;lgmal - Appliitant: Blue - office Canary - SaICs.Ta%. Pink - Applicant Tag - Bldg ldsp -
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
70
m
m
m
fr
_IV
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m
in
m
in
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
-)?C/
Permit No.
ate