HomeMy WebLinkAbout1307 Monterey Dr - Permits/Addition or Alteration - 05/05/1988City 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 C
Name 6s e r
Mail AddressNawl �2
0�J).�,
Phone l0
Name (.040" Ilia
0
U
Address
m
U
License No.
Phone
Contractor Sales Tax No.
°
Lot Q
Block
Filing Number
Q
ti
Subdivision 3 t0:T • ex h o
a
m
PUD
Parcel #
DESCRIPTION OF WORK
t
e c . e-
ro. �-
1�'Mn \
i Vne
�a wi
�. ee i
doar,
MC&
Stock Options
Plan No. Codes
yvk �Q
Est. Total Cost W
(including labN" aterial, iij—��
-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.
A \(z-60
_
signed date
C
a]
— CLASS OF WORK
New Alteration Actditipn Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. E ec. S ru t. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone �.
Use of Building 9 r a
Floor Area 4qPqo
Height
No. Stories
Lot Are '6 Q 3C/
Frontage
Occ. load
Occ. Change from
Plat File o.6 7
N U.
Garag ar
in. smt. area
Type
No. Fireplaces or stoves
— RELEASES — Dates
Zoning G.. 'L/
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Pj C
Valuation FEES
Plan Check ..
�j_ z. ✓
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 ❑
-o
7,5 o
`m
�'v
I ta/
W
am
m
U)
m
r
in
c
0
ti
Street
PI N .fir 5' -
PRMTS 108.6
TAXI'M t 65 A 00
TOTL 325.99
I,iIIJ{'i 3`'
N24234 15: i1 A
c
0
ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by
date
Permit No.
Date
Distribution: Original - Applicant: Blue - Office: Canary - Sales Tax:.Pink - Applicant Tag - Bldg. Insp.