HomeMy WebLinkAbout509 Remington St - Permits/Electrical - 09/18/1986 (2)City of Fort Collins BUILpING 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 O
Name
Qy
Mail Address f
b
s--
CoDS
Phone 2-
Name G
o
-
Address /.�D��
o
4- td1 VISrsV�
U
License No.
Phone CIS34
2
Lot
Block
Filing Number
nSubdivision
m
PUD
Parcel #
DESCRIPTION OF WORK
rt eA eAe
SGY-VILx_ y
_
W
v
? r Zp
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
New Alteration Addition Demolish Move
❑ Q I❑ ❑ ❑
Plbg. Mech. Elec, Struct. Fire Prot.
❑ ❑ ( ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
rloorArea
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
Distribution. Original -Applicant Blue - ptficet Canary -Sales Tax; Pink -Applicant, Tag -Bldg Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
-0
m
a�
0
0
1
Street
C
0
C6
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
2
Permit No.
Date
INSPECTION RECOP,D
(For Departmental Us_ Only)
Iris pectior,
Date
Inspector
Comments —
-
`Foundation
FGarage
rn
c
_°
Cc
Setback & Footing
----
-
--
_ _
Frame & Roofing
-- --
Fireproofing
- --- --
Firepiace
waflbaaid
�—
----
-
— -
-- - -
Garage Footings
- - r.
Garage Foundation
_-
Final -
=
-----
Temp.
- - --
Final
rn I
C t
.a
e
Sewer
Water -----— —
Rough In
-
Water Test
Gas
----
-
----
Final
-
a
-
w
w
Underground
--
.Rough
Energize
v
Final
Y
a
�I
LT
Fire Protection
--
L - ----
Final
m
c
0'
-o
Q
-
0
U
N_
_
Correction Order Left
Stop Order Issued
Stop Order Released
Certificate of Occupancy 9
C _ 36
Sidewalk, Curb, Gutter & Street
Site Plan
m
3
Z
0