HomeMy WebLinkAbout801 E Drake Rd - Permits/Reroof - 01/14/1987C?- y I
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
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`` Phone
Naln�
Address ^
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Lot
Block
Filing Number
Sit -division
PJD
Parcel #
DESCRIPTION OF WORK
Z
Stock Options
Plan Nc. Codes_ -
Est. Total Cost ii'lig4n
(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.
4i
f s i ed ~ "�'�7 '16t 0
date
— CLASS
OF WORK
New Altera '
❑
Addition Demolish
❑ ❑
Move
❑
Plbg. Mach.
❑ ❑
Elec. Strict.
❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const.
Zone
Use of Building
Floor Area
t
No. Stories
L t
rea Frontage
Occ. load
O c. Change from
Plat File o.
Garage area
smt. 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
uiauiuunun: unginai - Applicant: Blue - Otticel Canary - Sales Tax: Pink - Applicant. Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
PRMTS
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156.55
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NW17 03:39 A
JAN.28'87
ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
Permit No.
Date
,55
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
C
Mail Address
3
O
Phone
Name
0
m
Address
0 0
U
License No.
Phone
Lot
Block
Filing Number
.N
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
— CL9SS OF WORK —
New Alterat' Addition Demolish Move
❑ ff ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
7 ,
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load }
O c. Change from
Plat File No. No.
tD.U.
Garage area Fin.lBsmt.
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
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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m
cc
IV
d
d
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d
d
0
0
lL
Street
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ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
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r
,
Permit Np.
Date
Distribution: Original - Applicant: Blue - Office; Canary - Sales Tax: Pink - Applicant: Tag - Bldg. Insp.