HomeMy WebLinkAbout1706 Deweese St - Permits/Single Family New - 09/15/1986. -City
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 S
Name d
Mail Address L-C_
c
O
C 0 L
Q Phone j
Name Y �,
.a
o
Address
0
0
{
Phone
ockFiling
Number
MSubdivision
DESCRIPTION OF WORK
i
Stock Options
Plan No. Codes
Est. Tote C
(including labor, mater al, 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 —
e Alteration Addition Demolish Move
❑ ❑ ❑ ❑
P ba. Mech- Elec. Struct./ Fire Prot.
IV,-
Occ. Gr. -
Const.
Use Zone L
Use of Building �'LL 1 poiLwO
Floor Area
Height 9
No. Stories Lot Area
Frontage
Occ. load Occ. Change from
Plat File No.
No. D.U.
Garage area L
WBsmt. area
Type heat li 3r 4m
No. Fireplaces or stoves
— RELEASES — Dates
Zoning -7 -
Engineering
Fire Department
Electric Department
Water & Sewer
ry
Plan Review e , C, .-
Special Conditions:
Valuation FEES
Plan Check
Permit
%0
Parkland
City Sales Tax
�p -
St. Oversizing
Water Plant Investment
1-
Sewer Plant Investment
i '.-
Storm Drainage
•�
Electric Underground
l
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
®"
Corner Lot
❑
Reversed Corner Lot
❑
a
m
m
d
vV
}
- c
r) o
Street
r
c
0
v
6
s
r Z.
ZBA Case #
Date
BBA Case #
Date
Building Insp. ,Approval
by date
*ate
Permit No.
Distribution: Original - Applicant, Blue - Office: Canary - Sales Tax. Pink - Applicant. Tag - Bltlp. Insp.