HomeMy WebLinkAbout913 Sitka St - Permits - 02/21/1986City 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
c
Mail Address
3
O
Phone
Name � r
o
,� Address
C
o
U
License No.
Phone
Lot
Block r f N
Filing Number
Subdivision
°
N
PUD
rn
#
DESCRIPTION OF WORK
Stock Options
Plan No. _�_ Codes
Est. Total Costf `
(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 —
Ntevp Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plb?. Mech. Elea Strl Fire Prot.
Cf ❑1 M/ ❑
Occ. Grp Type Const ', - ,A, r Use Zone w';
Use of Building
Floor Area
Height
No. Stories
Lot Area ) -
Frontage
Occ. load
Occ. Change from --
Plat File No.
No. D.U.
Garage area -"o r r
Fin. Bsmt. area
Type heat -
No. Fireplaces or stoves { ..
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
r
Valuation t ;� 'FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
+ /
Water Plant Investment
Sewer Plant Investment_
Storm Drainage
Electric Underground
'r .�
- r'
! r
Total Fees '
Distribution. Original - Applicants. Blury - Office, Canary - Sales Tax_ Pink - Applicant. Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
4
Corner Lot
❑
Reversed Corner Lot
❑
o
m
_y
rn
ca co
0
lL
"J
Street
C
O
M
f' [
ZBA Case #
Date
BBA Case #
Date
Building Insp. 'Approval
by date
7
air
Permit No.,
Date