HomeMy WebLinkAbout255 Johnson Dr - Permits/Footing and Foundation - 12/14/1984 (6)ty~ 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 5" '• , ar • "c> iz
Name
Mail Address ^-
3
O
Phone
Name
0
m
Address 7 )
c
0
U_
License No. _ r Phone �7
O
._
n
Lot Block
Filing Number
m
Subdivision
PLO
d
J
DESCRIPTION OF WORK
Stock Options
Plan No, Codes
Est. Total Cost �` nrl --'•'
iincluding labor, mater'ia�fit)
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 slate laws regulating building construction.
1
signed
)�
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Ptbg. Mach. Elec. Strucl. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. 3 Type Cog,!: I
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Oce. Change from
Plat File No.
No. D.U.
Garage area
Fin. Ssmt. 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
Itl) 0 0
City Sales Tax
St. Oversizing
j
Water Plant Investment
Sewer Plant Investment
Storm_Drainage
Electric Underground
_
—
TotahrR< Ti 7c,
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
^r
m
r
�a
m
V
( l
1 1
N
^^D
d
r
c
0
LL
"J
Street
11i I(T2 my ih.
Tr4Y,PM 100 00
TOTI, 192,47
022:,119 01 ZD9 R
DEC,14'94
0
0
a
m
ZBA Case H
Date
BBA Case n
Date
Building Ins p Approval
by date))
!
{�-Pter tt No.
Date .Y• - r
Dainbub , di gi ar - Appr. `anl?Brae - Otrice: Canary - Sales Tai. Pok - Applicant Tag - Bid, rnsp.