HomeMy WebLinkAbout4313 Revere Ct - Permits - 07/16/1985City 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 Z13It RQV9,26 L' F
Name G127- OSS
Mail Address 4-3 1 -Oavei,ii Lr
0
G1— CCI u 1i c-0
Phone ZL(3- C)q
Name C)6t JG;R-
o
u
Address
c
0
U
License No. Phone
4
fi
Lot
Block
Filing Number
N
Subdivision
°
A
,PUD
J
DESCRIPTION OF WORK
UN 2 /cc
5 51-6
Stock Options
Plan No. ---Codes_
Est. Total Cost
(including labor, material, profit) l
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.
signed date
— CLASS OF WORK
New Alteration Addition Demolish Move
❑4 ❑ ❑ ❑ ❑
PI g. Mech. Elec. Struct. Fire Prot.
11 ❑ ❑ ❑ ❑
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.q.
Garage area
Fin. Bsrnt. 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 Original - Applicant, Blue - OfItce: Canary - Sales Tax'. Pink - Applicant, Tag - Bog. Insp. ��
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m
`m
d
m
n
`m in
C
0
ti
Street
c
0
m
ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
I q3
t
7 ► e5i�
Permit No.
Date