HomeMy WebLinkAbout930 Sandy Cove Ln - Permits - 12/05/1986City of Fort CiollinS 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 b
Name
c
Mail AddressT5 0 5'A Y? LczNf
3
O
f+ Cy
Phone3
Name V
o`
m
Address
C
O
U
License No.
Phone
n
Lot
Block
Filing Number
y
m
Subdivision
m
PUD
Parcel #
DESCRIPTION OF WORK
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 Alte atio Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. MeN. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
H!iqp
No. Stories
Lot Ar o
Occ. load
c . Chan fro
Plat File/2.
o. .U.
Garage a
F n. Wt. 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
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution. Original - Applicant, Blue - Office', Canary - Sales Tax'. Pink - Applicants, Tag - Bldg. Insp,
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
a
`m
`m
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U)
m
c
0
11
Street
0
m
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date