HomeMy WebLinkAbout624 Morsman Dr - Permits - 01/09/1989City 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 i- 2 l.!
Name
`m
Mail Address
Phone -
Name
Address /
0,
License No ,Phone _ -a
Contractor Sales Tax No. 23 .Z
°
-�
Lot
Block Filing Number
Subdivision
o
PUD
—
Parcel #
DESCRIPTION OF WORK
p
Stock Options
Plan No. - Codes__
Est. Total Cost 7e.-2a."
(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
/orrd"inaan'ce.�sy and state lawss regulating building construction.
signed ate
- CLASS OF WORK -
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
_
Plbg. Mach. Elec. StructL Fire Prot.
❑ ❑ ❑ ❑ ❑
__
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area-leight
No. Stories rea a Frontage
Occ. load cc. Chap f rrt
Plat File No.
No. 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
Special Conditions:
Valuation FEES
Plan Check ''
uZ__
Permit
l3-
Parkland
City Sales Tax
�t✓PA��
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution Original Appucant. Blue - Office'. Canary - Sale= Tas Pork - Applicant lag - Bldg Irisp
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
12
m
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ZBA Case #
Date
BBA Case #
Date
Building Insp. ! i / Approval
by fc % date
Permit No.
Date