HomeMy WebLinkAbout801 E Drake Rd - Permits/Reroof - 01/14/1987 (2)City of Fort CO I ins 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
c
Mail Address Q
O
Phone Q.23 _
0
m
Name
Address
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e�
U
License No. _
Phone
c
°
Lot
Block
Filing Number
aSubdivision
N
PUD
m
Parcel #
DESCRIPTION OF WORK
tt
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.
— C
SS OF WORK —
New Alter on
❑
Addition Demolish
❑ ❑
Move
❑
Plbg. Mech.
❑ ❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const.
Usp Zone
Use of Building
Floor Area
igh
No. Sterie
a
Fronta e
Occ. loa
cc
ange fro
Plat Fil
Garage area
. 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
l
Parkland
City Sales Tax
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
m
d
Q
IV
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Street
PRIM 50.50
TAXPM 67.65
TOTL 118.15
CHCK 11
18
1�6510 03.39 A
JAM.28'87
ZBA Case # Date
BBA Case # Date
Building Insp. pproval
by
date
Permit No.
Date
3.15 .
Distribution. Original - Applicant. Blue - Office', Canary - Sales Tax', Pink - Applicant, Tag - Bldg. Insp.
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
Name
w
Mail Address
3
O
Phone
Name
o`
m
Address
C
O
U
License No.
Phone
4
Lot
Block
Filing Number
a
y
d
Subdivision
m
PUD
Parcel #
DESCRIPTION OF WORK
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
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
FloorArea ;
Height !
No. Stories
LptArea j
Frontagk
Occ. load
c. Change from)
Plat File No.
No. D.iJ.
Garage area
+ Bsni 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
I.Lotal Fees
Distribution. Original - Applicant Blue - Office. Canary - Sales Tax. Pink - Applicant, Tag - altlg Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
m
Y
`m
�IV
( 1
—7
1 )
— >
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d
c
0
LL
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Street
c
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ZBA Case #
Date
BBA Case #
Date
Building Insp. _; Ikpproval
by date
I
.
Permit No.
Date