HomeMy WebLinkAbout720 W Oak St - Permits - 11/04/1986City 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 m
a
Mail Address U/oiC 3
O
Phone
`o
Name
Address
o';
�SU
U
/�
License No. ,5 _ 7 ' Phone &.2Z
a
Lot Block
Filing Number
y
Subdivision
°
N
PUD
Parcel #
DESCRIPTION OF WORK
�2
Stock Options
Pla%I 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.
-
Isigned --- - —
date
— CLASS OF WORK
New Alter lion Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
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
k
X
Tax
i • -
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
- -1Total
Fees - r
Distribution Original - Applicant Blue - Office_ Canary - Sales Tax'. Pink - Apphcant Tag - Bldg Insp-
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m
}
`m
ar
cr
( )
l 1
m
}
c
0
LL
Street
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
z� 73q
Permit No.
Hate