HomeMy WebLinkAbout900 Vanderbilt Ct - Permits - 08/15/1986City 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
Phone
4Address
U
License No.
Phone
fi
Lot
Block
Filing Number
y
Subdivision
rn
PUD
�
Parcel #
DESCRIPTION OF WORK
N
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 date
— CLASS OF WORK —
New Alto ti n Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Me h. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building 'F
FloorArea
Height
No. Stories
Lot Area -4
Frontage
Occ. load
Occ, Change from
Plat Fill Nit)_
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
Permit
r"
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees.
lLelrmutlo' Ongmal- Applicant. Blue -Office Canary -Sales Tax :Pink-Applic@nt. Tag Bldg nep.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
D
m
`m
a
n
rn
"J
Street
C
O
72
ZBA Case $
Date
BBA Case tt
Date
Building Insp. A proval
by
date
Permit No.
Date