HomeMy WebLinkAbout500 Riva Ridge Rd - Permits - 07/28/1987City 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 i v
Name ri 1. ? s G.
Mail Address 7 p;
0
Phone
Name
0
'5
at
Address
_J It its C
C)
License No,
Phone I
2
Z.
Lot
Block
Filing Number
Z5
Subdivision S '-a 1 1 1 1
0
PUD
Parcel Jf
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.
signed date
I
CLASS OF WORK
New Alteration Addition Demolish Move
Plbg,, Mech '. Elec. Struct Fire Prot.
D CK IR, 11k 1:1
Occ. Gr.
Type Com%:t .71 :1 7
Use Zone
US
Use of Building '1';
Floor Area
Height
No. Stories
Area ,L
Frontage
_TLotcA
Occ. load
Occ. Change from
Oc C
Plat File No.
No. D.U. I
Garage area
Type heat
Fireplace r stoves I
RELEASES Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review I
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
----
-
City Sales Tax
- — -------------
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fee�
Disiricution Original Applicant Glue - Office Canary - Sales Tax Pink Applicant: Tag - Bldg lr)sp
Off -Street Parking
(No. Cars)
Interior Lot
a
Corner Lot
0
Reversed Corner Lot 0
cr
IV
(D
P
C
P
LL
—V
Street
0
ZBACase #
Date
BBACase #
Date
Building Insp. Appj,oval
by date
Permit No.
Date