HomeMy WebLinkAbout512 E Monroe Dr - Permits/Reroof - 06/25/1987Of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only. -
Press firmly using ball p 'nt pen.
Job Address
Name ,
i
a�
C
Mail Address^
3:
le� I r
Phone
`o
Name
Addressca
U
v �/L v d r
License No.ts
Phone _
Lot Block ]Filing
Number
aSubdivision
PUD
rn
0
Parcel #
DESCRIPTION OF WORK
CIV
et'L- A /9- f✓
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, material, profit)
hereby-acknowledge'that-f have read this application and
l 7.2 ''e"i !_il f
state that the,above�ls cdrrect Arid agree to comply with all city
or inane( =and ' e,lawvsregulating building construction.
signed da e
2
A
161
I
— CL
S OF WORK —
New Altera '
❑
Addition Demolish
❑ ❑
Move
❑
Plbg. Mech.
❑ ❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const.
U e e
Use of Building
Floor Area
H t
No. Store
o ;
ea
F ontage
Occ. I ad
Occ.
hange fro
Plat File No.
N 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
Sp on Itlons:
�0
Valuation
FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No;
Cars)
Interior Lot .
❑
Corner Lot
❑
Reversed Corner Lot
❑
r
Cc
VV
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M
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0
ti
Street
PRMTS
50.50
TAXPM
66a00
TOTL
116n5O
OHC4; 116
N91227 15:59 A
C
O
ca
ZBA Case #
Date
BBA Case #
Date
Building I Approval
by date
Permit No.
DL
.5O
Distribution: Origi /- Applicant'Blue - Office; Canary - Sales Tax: Pink - Applicant; Tag - Bldg. Insp.