HomeMy WebLinkAbout530 Sycamore St - Permits - 11/28/1988Clay 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 O'rzE J I
Nalme jl'_ �
Mail Address e jn
3
Phone y lj .3 - .5 7
Name 0 /r
g Address
m
c�
01 License No. i Phone
Contractor Sales Tax No.
4� Lot Block �� Filing Number
—
SubdivisionLZ
C
P _ (it n ?
Parcel # '7 10 �U
DESCRIPTION OF WORK
Stock Options
Plan No - _—Codes.-_
4kt
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
ordain ssJ/(aand state laws regulating building construction.
�.-
J/1
signed date
_ — CLASS OF WORK.—
New Alteration Addition Demolish Move
Plbg. Mech. Elec. Struct. Fire Prot
❑ ❑ ❑ ❑ ❑
_
Occ. Gr. — Type Const. Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot a,Frontage
Occ. load
cc. C
f om
Plat File No.
Garage area
No. D.U.
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditjons:
Valuation
FEES
-7
--t-...i_._—_
Plan Check
Permit
Parkland
---_
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground- --
Total Fees
r)4b1LJt1Df1 CJngmel Applicant. Bluc - Office. Canary - Seles Tnx.Plnk - Applrcant. Tag - B1dg Insp
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
a
ro
Y
m
rn
m
r
(n
C
0
LL
`J
Street —
p
a
ZBA Case #
Date
B B A C ase #
Date
Building Insp. Approval
by date
� D746
/1
Permit No.
Date