HomeMy WebLinkAbout801 E Drake Rd - Permits/Reroof - 01/14/1987 (3)City o-11" T_-� Ort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complcte this part of form only.
Press firmly using ball point pen.
Job Address l y l
/
Name '
c Mail Address C
O
Phone bye
Name
'o
l —
Addressp
L� j
ail — —_
o
'
U
License No. _ Phone
c
°
a
Lot Block Filing Number
2
—
Subdivision
PUD
d
Parcel #
DESCRIPTION OF WORK
+FIF
Stock Options
Plan No. Codes
0Pl CV0
Est. Total Cost
(including labor, material, profit)
I hereby acknowledge that 1 have read this application and
state that the above is correct and agree to comply with all city
ordinances and state laws regulating building construiiction.
W1 Q31
sit ned date
— CLASS OF WORK —
New Alters ' n
❑
Addition Demolish
❑ ❑
Move
❑
Plbg. Mech.
❑ ❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
FloorArea
H i
No. Stories
r a
F;ontkge
Occ. I d
O .Change
Plat
o
Gar rea
r 1
in. 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
Distribution. Original - Applicant: Blue - Office, Canary - Sales Tax: Pink - Applicant. Tag - Bldg. Insp.
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
—A
m
`m
d
_IV
d
� d
N
a
C
0
Street
PRMTS
50.50
TAKPM
67.65
TOTL
CAN 11
o
MR6510 03140 A
a
JAM.28'67
ZBA Case #
Date
BBA Case #
Date
Building
Insp. pproval
by
date
Permit No.
Date
.15
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 `x 15
Name
o
c
Mail Address
3
O
Phone
Name
0
m
Address
c
0
U
License No.
Phone
4
Lot
Block
Filing Number
.a
Subdivision
0
m
PUD
�
Parcel #
DESCRIPTION OF WORK
5
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 dat
— CLASS OF WORK —
New Alters ' n Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Ara I iFrontige
Occ. load )
Occ-Change from
Plat File o. `
No.,D.'U.
Garage area
jin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
r
Valuation ` _ —`�
FEES,
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
-
Sewer Plant Investment
Storm Drainage
Electric Underground
tal Fees
Distribution: Original -A pp I cant Blue - Office',`Canary-Sales Tax: An - Applicant fag ~aldg.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
a
i
m
ar
Q
d
0
0
ILL
Street
C
O
ZBA Case # Date
BBA
Case # Date
Building Insp. Approval
by
date
Af
Permit No.
Date