HomeMy WebLinkAbout719 Boltz Dr - Permits/Patio Cover or Sunshade - 05/13/1986Clay 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 f'
Names
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t
Mail Address
O
Phone �,,, �. z, � f...� _•
Name iE{�
Address
A r. of
V
License No.
Phone +- 2
Lot .s
Block
Filing Number e
b
Subdivisionca
PUD
m
a�
J
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost _ 2 5t 0 - a )
(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.
t signed Nate!
— CLASS OF WORK —
New Alteration Addition€ Demolish Move
❑ ❑ n ❑ ❑
Plbg. 'Mecfi: ' "''" Elec. Struct.. Fire Prot.
Occ. Gr.
Type Const.
Use Zone
Use of Building'^ Fr
Floor Area _ `_r'
Ieight '
No. Stories `t
r°
Lot;Area ,_
Frontage
Occ. load`* ,� {
Occ. Change from F
f
Plat File No. ¢
NoP.U.'
Garage area (f�F,ih
4Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning t
Engineering
Fire Department
Electric Department: -
Water & Sewer
Plan Review
Special Conditions:
r
F
Valuation r.. t=>- #y }ta FEES
Plan Check
_
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees -^--
ff
Off-Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
Cs
h ° 4 Q2
o=
9
... V
to
M
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c
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LL
Street
.ro
t
ZBA Case #
Date
BBA Case #
Date
Building Insp. :" F -Approval
by date
1 g7 �D511�
Permit No. t _
Date
Distribution: Original - Applicant;-Blu`e - Offic`e_Eanary - Sales Tax; -Pink, -.Applicant; Tag --Bldg. Insp.