HomeMy WebLinkAbout520 Sycamore St - Permits - 09/26/1985City 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 Q
Name
RueG1fL
a`)
c
Mail Address
3
O
Phone 9Y
Name
0
Address
c
0
O
License No.
Phone
Lot
Block
Filing Number
Q
y
Subdivision
PUD
J
/o cb
DESCRIPTION OF WORK
a '' A-
6+
1
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
❑ 10 ❑ ❑
Move
❑
Plbg. Mech. ElecStruc
,r
El 'e
Fire Prot.
❑
Occ. Gr.Type Const. f
Use Zone
Use of Building
Floor Area=from
t
No. Stories %Frontage
Occ. load
Plat File No.Garage
area
areaType
heatces
or stoves
_t.
— RELEASES —
Dates
Zoning
Engineering
Fire Department
Electric Department y
r .
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 - Office; Canary - Sales Tax. Pink - Applicant. Tag Bielg. hi
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
A
-0
c
U
m
in
4 0`
'tea. �JLL
Street
C
O
co
ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
33�r
74/957�_
Permit No.
Dale