HomeMy WebLinkAbout632 Monte Vista Ave - Permits/Furnace - 07/02/1986City 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'
Mail Address
Phone `
Name ' ).. t ` ✓,
`�
m
Address
License No. a s ' 4 Phone , v
2
a
Lot Block Filing Number
N
Subdivision
PUD
m
Parcel #
DESCRIPTION OF WORK
S 1i
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_ `��•,'� > \�.'�atg
`- 11
Distribution: Original - Applicant; Blue`Off ci ei.Canary -Sales Tax, Pi nk Applicant;_T.ag -,Bldg. Insp.l ���`-•... {
,__ -.CLASS OF WORK —
New A'Ite tion Addition Demolish Move
❑ t , ❑ ❑ ❑
Plbg. "Me9b. Elec. Struct. Fire Prot.
❑ 5 f ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
c ,
Use of Building � ,� ,-� ; f, "�
FloorArea Y jeight
No. Stories
Lot Area Frontage
Occ. loads�OSccChar
ge from
Plat File Nos.No.
Garage area t4 )Fin.
Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation Will FEES
Plan Check
Permit
Parkland
City Sales Tax
y
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
[,Total Fees,
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
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ZBA Case # Date
BBA Case # Date
Building Insp. ° Approval
`date
by
�- Permit No. (-,�Efate