HomeMy WebLinkAbout1330 Peterson St - Permits/Reroof - 11/21/198610
Alt of Fort C61IlI1S BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERAUT' AND 'CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 13ipet3
Name t.Ynl n Dor an
Mail Address C O Betty Asau8
3
O
'ifs Groh 401 W. lulborr
Vt. Co111na. Phone 221- 0700
c
Name U!wiCe rtt"finq. Inc.
al
Address 3020 "kie it jM)3p^_ct
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z?nrt Collins. UM c41.,25
O
License No. a.5d+.3
Phone„,/- r112
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Lot
Block
Filing Number
H
m
Subdivision
2
m
PUD
�
Parcel #
DESCRIPTION OF WORK
I layer riax3 :;:ttinr;lt.];�
i I.-ver !trenv r_a�yii-llt:
Tear oif heavy aslo3tt
Mall f—Lo:c
29 s uaros a a723JU
Stock Options
Plan No. Codes
Est. Total Cost J 1 . #rJ'J .'_Xj
(including labor, material, profit)
staghereby acknowledge that I have read this application and
that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
�rt l
signed date
— CLA S OF WORK —
New Alte�tio Addition Demolish Move
❑ ❑-/ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area f'
No. Stories
t Ar froptage
Occ. I d
co. CV,ange f om
Plat Fi'lifNo.
Garage area -'
fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special CondHt nsr''�
Valuation fFEES
Plan Check
Permit
Parkland
City Sales Tax
a ...d
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
.ns,nuouon: vngma • npptpattr, tflua]'g11UE`4svh" -$A4db, A4Wink - Applicant: Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
v
Ir
l 1
m
_^ m
v m
c
0
¢
Street
ICI; ,
,1
ZBA Case #
Date
BBACase# ,9
Date
Building Insp. Approval
(f
by , date
,
Permit o.
Date
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