HomeMy WebLinkAbout913 Queens Ct - Permits - 07/06/1988City Of Fart 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 Y„
Mail Address L�
3
/
Phone
Name
0
Address
U
License No. �2� Phone
.0
Contractor Sales Tax No.
°
Lot BlocK r: ling Number
N
Subdivision
°
mo
PUD
m
Parcel #
DESC TIO _QF WORK
s- r�ce2
Stock Options
Plan No. _ Codas
Est. Total C }34 — ,
(including labor, mateal, profit)
1 hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances an sta aws regu Nig building construction.
si ed _ date
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
I Ibg. Mech_ Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Oca. Gr.
Type Const. Use Zone
Use of Building
Floor Area Height
No. Stories Lot Area Frontage
Occ. loadc.
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:
t/aluation FEES
Plan Check
Permit
Parkland
City Sales Tax
St.Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Y tal Fees
D,tnbuhon Onymal - Appheanf. B�ue - Ofha r3-ary Sales Tax Pmk - App cant T g CHg Flap.
Off -Street Parking
(No. Cars)
Interior Lot
A
Corner Lot
❑
Reversed Corner Lot
❑
i
`m
a�
inm
}
ce)
Z6 0
0
Street
0
ZBA Case #
Date
BBA Case #
Date
Build Approval
Approval.,
(G
by / /y l/ date
Permit No
Date
".�