HomeMy WebLinkAbout5213 Mcmurry Ave - Permits/Footing and Foundation - 11/21/1988City 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 S2/3 4,X e1W.4 De.
Name SC c. /
m
c
Mail Address
3
O
Phone
Name cok.1 r.' rV+.. nc.
o
U
Address .-. Z.C/PN
' �czs t
0
U
License No. Phone
Contractor Sales Tax No. 2� 78G
aLot
3
Block
Filing Number2
Z.3
W
Subdivision
PUD
0
Parcel #
DESCRIPTION OF WORK
r
f— Oh
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.
_���ld. 11-1s-,919
signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone Ylpq
Use of Building
Floor Area
Height
No. Stories
Lot Areaq It
Frontage
Occ. load
Occ. Change from
Plat File No. 10
No. D.U. /
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning -3 //4,1-2YE
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Z
Parkland
City Sales Tax
t—
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
Zs)
(No.
Interior Lot 1*
Corner Lot ❑
Reversed Corner Lot ❑
0
`m
(10)
m
m
1
o
d
m
2!l C
� V o
LL
Street
P',k`7g 13 G"
' iX U 1.3.72
TC L Z" ,?4
r-,c ,. �. r
o \20339 09:52 A
N"TO r.
>
r
ZBA Case # Date
BRA Case # Date
Building Insp. Approval
by date
V8 6—
Permit No.
Date
Applicant: Blue- 011ice'. Canary - Sales Tax. -Pink Applicant: Tag - Bldg. Insp. -