HomeMy WebLinkAbout512 E Monroe Dr - Permits/Reroof - 06/25/1987 (2)City of' Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ballpoint pen.
Job Address
Name
c
Mail Address 3 Ste.
O
d
Phone
Name J44t
o
Addressto
o
onr A.' zs � r
O
_
License No. r Phone S /O
Lot Block
Filing Number
aSubdivision
m
PUD
m
Parcel #
DESCRIPTION OF WORK.
i9
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
M
No
— CLASS OF WORK —
New Altera n
❑ 49
Addition Demolish . Move
❑ ❑ ❑
Plbg. Mech.
❑ ❑
Elec. Struct. Fire Prot.
❑ ❑ ❑
Occ. Gr.
Type Const.
Use ne
Use of Building
FloorArea
Wit"'
No. Stories
Lot
re
Fr tage
Occ. I ad
.
C
ange.fr
Plat File N
0-
Garage area
in. Bsmt. area
Type heat
No. Fireplaces or stoves
—
RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
777
Valuation
`'" FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
I
,
Off -Street Parking` r
In 1
=
J'
(.No�Gars):
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
ro
Y
m
a�
c
}
(75
0
ti
Street
PRMTS
50.50
TOTL
50.50
CI"ICK 5
N21228 16n00 A
o
JUN.26'87
ca
co
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by
date
Permit No.
r D
.50
Distribution: Original - Applicant: Blue - Office: Canary - Sales Tax: Pink - Applicant: Tag - Bldg. Insp.