HomeMy WebLinkAbout801 E Drake Rd - Permits/Reroof - 12/04/1986City 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 r
d
Mail Address
3
O
Phone
Name
0
m
Address
c
0
U
License No.
Phone
C°2
a
Lot
Block
Filing Number
y
Subdivision
m
PUD
rn
Parcel #
DESCRIPTION OF WORK
r.:
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
— CL6SS
OF WORK —
New Alter tiorr
❑ 9
Addition Demolish
❑ ❑
Move
❑
Plbg. Mach.
❑ ❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
igjh�
No. Stories /
Lot Area Frontage
Occ. load If / r
Oc
Change from
Plat File
NO D.U.-
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
FEE$
Plan Check
Permit
Parkland
City Sales Tax
.f
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees \
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
a
m
r
m
d
cr
_IV
d
a)
0
in
>
in
c
0
"J
Li
Street
c
0
v
ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
bydate
Q�/
c Permit No.
Date
Distribution: Original - Applicant. Blue - Office', Canary Sales Tax. Pink - Applicant i Tag - Bldg. Insp.