HomeMy WebLinkAbout419 Riddle Dr - Permits - 11/14/1984City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this Aart of form only.
Press firmly using ball point pen.
Job Address ARC( 15�YF Z1
Name 'A PI Itl G
m N,
Mail Address
.7 !, ). • 41.'l; tat idJ l.•li♦ ±1)�'?w
Phone
Name c-, (pi'i 1.'!lt:i=l Y1jam nor
Address
m ?7 s s.• f':
License No. r, , 70 Phone r
Lot Block Filing Number
Subdivision
PUD
DESCRIPTION OF WORK
Sn1sC' itts`.e'la!'a.on •. �?Of74.^'_Er
�--}�e'�^�3'3r—'-^OE 1-t�tlih=•rl� +y'7ar�
and ^• 4» ea.:
i r, cr i; •,,1 $patQe
an coil unit add f";.cxl.tllr ci+,icf
Stock Options
Plan No. Codes
Est. Total Cost Sol-
1r t l . 5
including labor, material, profit)
I hereby acknowledge that I have read this application and
;late that the above is correct and agree to comply with all city
3rdinances and state laws regulating building construction.
signed ��—� hale
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑- ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
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
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
Inbol,on Ongmal AppigAti+ Ide,. Olnle;tdnary - 5 es Ta. P,nk Applican). Tag - Bldg. Insp
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
_r
v
ro
r
m
�IV
t )
f )
} rn
i
c
o
LL
Street
'ro
.q
ZBA Case #
Dale
BBA Case #
Date
Building Insp. Approval
by date
Is—W4
�,
Pe it No.
Date