HomeMy WebLinkAbout5413 Saratoga Cir - Permits - 01/04/1989City 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
Name_VW
m Mail Address
l G. ���►FY�} /��.
1 / ,P�hoo Z
Nam_�_�H}��i+'7
o Address
� — -"IU-tea-- ,•--+--.. '� � i - ---
O License Nor, I w Phone _5611
Contractor Sales Tax No. 2
Lot L;-7 Block Filing Number
zai
osubdivision
PUD-s��8'��.
Parcel
DESCRIPTION OF WORK
Stock Options
Plan No. _. _ -_ --Codes---
Est Total Cost -/&W.. --
(including labor, material, profit)
I hereby acknowledge that I have read this application and
state that the above is correct a?agr comply with all city
ordinances and state laws egilding construction.
signed date
— CLASS OF 1l/VORK —
_
New Alteration Addition Demolish Move
❑ ❑ _ ❑ ❑ ❑
_
Plbg. Mach.. Elea Struct Fire Prot.
❑ ❑ ❑ ❑ ❑
_ _
Occ. Gr. Type Const. Use Zone
—se
Use of Building
FloorArea� Height
No. Stories +LotcAreaFrontageOcc.
load Change from
Plat File No.
No. P.U. —
Garage area
Fin. Psmt. area
No. Fireplaces or stoves
Type heat
— RELEASES — Dates
_
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
J
Special Conditions:
Valuation FEES
Plan Check
-. -.—/
Permit
---
- Parkland
City City Sales Tax 3 �J
St. Oversizing
Water Plant Investment
Sewer Plant Investment
StormDrainage
Electric Underground
Total Fees
Dislnbution Origami - Apphcant. Blue 04ice. Canary -Sales Tax.Pink - Applicant Tag - Bldg Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
_ram
r
Ir
a
0
CO
ZC
O
LL
"J
Street._
c
0
m
a
ZBA Case #
Date
BBA Case #
Date
Building Insp. `/ Approval
by jJ date
Permit No.
Date