HomeMy WebLinkAbout508 E Myrtle St - Permits/Sprinkler - 06/18/1987City 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
Name Jj�l()Gt 1 L /✓) h/
m
c
Mail Address��
3
O
Phone
0
Name / `j((j- n
m
Address
C
0
U
License No.
Phone
°
Lot Block
Filing Number
z
s,
Subdivision
0
N
PUD
U
Parcel #
DESCRIPTION OF WORK
its
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
— CLASS OF WORK —
ra
New AlteAddition Demolish
❑ ❑ ❑
Move
❑
Pie Mech. Elec. Struct.
❑ ❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const.
Us Z
Use of Building
Floor Area
eig t
t Ar a F nload
FcNo.torie
cc. C ng fro
Plat File No.
Garage area
F smt. 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 - App*Trant. Blue - Office', Canary - Sales Tax Pink Applicant, Tag - Bldg. Insp.
Mp
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
`m
`m
m
am
c
0
LL
—J
PRMTS 15 90
Street InTi 15 j
u t
N20990 06:53 A
c
0
a
ZBA Case # Date
BBACase# f Date
Building
Insp. rl proval
by
date
Permit No.
Di6ite
;:I S