HomeMy WebLinkAbout1105 Indigo Ct Thru - Permits/Addition or Alteration - 08/04/1987of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
I Applicant complete this part of form only.
Press firmly using ball point pen.
Jobl Address l/Q 5 ' .'pN ,�, Y/a� el.
Name
c
IMail Address
o
i
Phone
IName
C"o i.deldA
o
v
Address 2111re Qy-
w
I Y I
0
O
License No. Phone �/j -,,// J[/
Iontractor
Sales Tax No. a g?
0
_
a
Lot
Block
Filing Number
Subdivision
w
PUD
Parcel M
DESCRIPTION OF WORK
/
dt `ar ork
CIA
Stock Options
Plan No. Codes
c
Est. Total Cost co.
(including labor, mAlarial, profit)
1 hereby acknowledge that 1 have read this application and
state that the above is correct and agree to comply with all city
ordinance and state laws regulating building construction,
?&r - _ s- Al- r7
signed date
nisVlbutlom Original - ACGixant aloe - Office, Canary - Sales Tax:.Pink - App,icant: Tog
-- CLASS OF WORK —
New
❑
Atterati Addition Demolish
❑ ❑
Move
❑
Plbg.
❑
Mech. Elec.
❑ ❑
Struct.
❑
Fire Prot.
❑
Occ, Gr.
Type Const.
Use Zone
Use of Building
Floor Area
eig
No. Stori
Fron
Occ. I d
O . Change fr
Plat 1
o
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
Parkland
City Sales
Tax
St. Oversizing
Water Plant
Investment
Sewer Plant
Investment
Storm Drainage
Electric Underground
Total Fees
I
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
_r
T
i�
! t I 1